NeighborWorks Lincoln - Leadership Information Form

Please take a few minutes to confirm your demographic designations and rank the committees you would be most interested in contributing your time and thought to. All board members are asked to participate in 2 committees and members of the community are encouraged to contribute to topics they are passionate about!

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* 1. Contact Information (* never shared/used solely for certification)

Name (First Last):

Phone:

Email:

Street Address 1*:

Street Address 2*:

City:

Organization or Company:

Job Title or Role:

Profession or Discipline:

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* 2. Birthday

MM/DD/YYYY

Date

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* 3. How familiar are you with NeighborWorks?

Very (Served on Board/Staff)

Somewhat (Partner/Home Owner/Regular Participant)

Not Very (Know About/Attended an Event)

Not at All (This is my First Engagement)

Not Sure

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* 4. What aspect of the organization most interests you?

Real Estate Development (Design, Development, and Construction)

Homeownership (Education, Training, and Counseling)

Community Building (Outreach, Engagement, and Programming)

Advocacy (Civic Leadership and Policy Development)

Service (Community Service and Volunteering)

Other (please specify)

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* 5. Preferred Pronouns:

She/Her/Hers

He/Him/His

They/Their/Their

Other:

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* 6. Do you identify as a member of the LGBTQIA community?

Yes

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* 7. Race (check all that apply):

White/Caucasian

Black/African American

Asian/Pacific Islander

Hispanic/Latino

Native American

Other (please specify)

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* 8. Living Arrangement:

Rent, Apartment

Rent, Home/Townhome

Own, Condo

Own, Home/Townhome

Own, Land Trust Home

Other (please specify)

NeighborWorks Lincoln - Leadership Information Form

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* 1. Contact Information (* never shared/used solely for certification)

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* 2. Birthday

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* 3. How familiar are you with NeighborWorks?

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* 4. What aspect of the organization most interests you?

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* 5. Preferred Pronouns:

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* 6. Do you identify as a member of the LGBTQIA community?

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* 7. Race (check all that apply):

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* 8. Living Arrangement:

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* 9. Committee Interest (please rank)

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* 10. Brief Bio or Qualifications