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

Name

Phone

Street Address

Organization or Company

Job Title

Profession or Sector

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* 2. Birthday

MM/DD/YYYY

Date

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* 3. Neighborhood:

Not Listed/Outside Lincoln:

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* 4. Preferred Pronouns:

She/Her/Hers

He/Him/His

They/Their/Their

Other:

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

Yes

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* 6. Race

Other:

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* 7. Ethnicity

Hispanic

Non-Hispanic

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* 8. 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

NeighborWorks Lincoln - Leadership Information Form

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* 1. Contact Information

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* 2. Birthday

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* 3. Neighborhood:

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* 4. Preferred Pronouns:

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

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* 6. Race

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* 7. Ethnicity

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* 8. How familiar are you with NeighborWorks?

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* 9. Committee Preference(s) (please rank all)

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* 10. Tell us about Yourself/Qualifications