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Nice to meet you!

Thanks for your interest in m+r interim solutions. moss+ross provides a full range of fundraising, strategic planning and executive search services to nonprofits. Headquartered in the Triangle region of North Carolina, the consulting firm’s partners and associates take great pride in creating customized solutions to meet the needs of a wide range of clients including universities, independent schools, cultural institutions, and regional nonprofit and philanthropic organizations.

Clients often call to ask if we can help with interim staffing to bridge a staff departure, work on a special project or fill a temporary need. We are seeking to build a corps of potential affiliate consultants who can work part-time on short-term contracts. Please understand that we cannot guarantee an interim position on a specific timeline.

Your completed survey will help us better match you with the wide variety of interim opportunities that arise.

After you press Submit on this survey, you will be redirected to the moss+ross website to upload your resume if you have not already done so. By providing your resume you agree that m+r interim solutions may share it with potential clients as appropriate.

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* 1. Basics

First Name

Last Name

LinkedIn address (if you have one)

City

State (if not NC)

Email Address

Phone Number

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* 2. How did you hear about m+r interim solutions?

Browsing the internet

Mentioned to me at a conference

moss+ross newsletter

Referred by a moss+ross associate (please specify below if you'd like)

Referred by another m+r interim solutions affiliate consultant (please specify below if you'd like)

Referred by another friend or colleague (please specify below if you'd like)

If you'd like to do so, please let us know who referred you to m+r interim solutions.

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* 3. Do you feel like you’d be a good fit for one or more of the following interim role(s)? Please check all that apply.

Executive Director/CEO/President

Grant Writer

Development Associate/Assistant

Director of Development

Special Events

Volunteer Coordinator

Campaign Manager

Director of Communications and Marketing

Annual Fund Manager

Development/Constituent Database Manager

Director of Finance

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* 4. If you chose Executive Director/CEO/President, why do you think you would be a good fit as an interim leader?

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* 5. What kind of work do you like to do best?

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* 6. What is your minimum desired workload for an interim engagement?

5 hours/week

10 hours/week

15 hours/week

20 hours/week

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* 7. What is your maximum desired workload?

5 hours/week

10 hours/week

15 hours/week

20 hours/week

25 hours/week

30 hours/week

More than 30 hours/week if possible

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* 8. Do you have anything to share generally about your availability (e.g., only available in the summers, not available until a specific month, currently employed part-time elsewhere)?

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* 9. Would you be willing to provide interim support for more than one client at a time?

Yes

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* 10. Do you prefer to work at a client office or remotely?

I prefer working in an office

I prefer working remotely

I do not have a preference

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* 11. Where would you prefer to work the most?

Chapel Hill and immediate surrounding area

Durham and immediate surrounding area

Raleigh and immediate surrounding area

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* 12. Which other area(s) would you be willing to travel to regularly for an interim engagement?

Chapel Hill and immediate surrounding area

Durham and immediate surrounding area

Raleigh and immediate surrounding area

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* 13. It would be rare to have a client that requires a lot of out of area travel but it’s possible. At this time, would you be open to travel?

Clients can send me anywhere!

I will travel anywhere in North Carolina.

A day trip once or twice a month would be ok.

Traveling out of town for an annual conference or board meeting would be ok.

Not for me now, but ask again later.

Not now. Not ever.

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* 14. Who are two or three people we could talk to about your work? If you've included this information on your resume, we would still appreciate it if you would add it here too.

For each reference, be sure to include name, organization (if applicable), phone, email and a brief description of your connection to them. Typically we do not conduct reference checks until an interim position comes up that could be a good fit. Before we contact them, we'll give you a head's up.

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* 15. In general, how would you rate your skill in the following areas?

	Not my strong suit	I am okay in this area	I excel in this area
Writing	Writing Not my strong suit	Writing I am okay in this area	Writing I excel in this area
Speaking/Presenting	Speaking/Presenting Not my strong suit	Speaking/Presenting I am okay in this area	Speaking/Presenting I excel in this area
Staff management	Staff management Not my strong suit	Staff management I am okay in this area	Staff management I excel in this area
Project management	Project management Not my strong suit	Project management I am okay in this area	Project management I excel in this area
Conflict resolution	Conflict resolution Not my strong suit	Conflict resolution I am okay in this area	Conflict resolution I excel in this area

Starting on the next page, you will be asked to rate your skill level for specific tasks. You will have an opportunity at the end of the survey to clarify any of your responses if you feel it is necessary.