Little Rock Regional Chamber of Commerce Survey
1.
Please enter the information indicated below.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Home Phone:
Email Address:
emailaddress@xyz.com
City:
State/Province
(US/Canada):

2.
Education
 

350 characters left.
3.
Current Volunteer Activities
 

1000 characters left.
4.

Please rank the type of organization you are interested in serving from 1-5 (1 indicating most interest and 5 indicating least interest)

 Least Interested Somewhat Interested Interested More Interested Most Interested 
Arts & Music
Education
Environment
Health
Human Services
Youth/Family
Individuals with Special Needs
Political - Liberal Issues
Political - Conservitive Issues
Political - Nonpartisan Issues
5.
What value do you believe you will bring to a non-profit board?
 

1000 characters left.
6.

Please indicate your areas of expertise. If you have no expertise in that area, please mark "no experience."

 No Experience Some Experience Experienced Very Experienced  
Accounting/Finance  
Fundraising  
HR  
Information Technology  
Legal  
Marketing  
PR  
Special Events  
Strategic Planning  
Special Events  
7.
Please indicate your availability for board meetings. Are there any specific dates or days during each month that you are unable to participate due to other obligations?
 

350 characters left.