AIC 2018 County Government Retirement Survey
RequiredRequired Question(s)
Required 1.

Are you planning to retire from county government at the end of 2018?

Yes
No
Required 2.

Are you on the ballot for any county office in 2018?

Yes
No
Required 3.

Select which types of county government roles you have held during your years of service. (Select all that apply to you.)

Elected position(s)
Appointment position(s)
Required 4.
Select all elected county offices you have held during your years of service (select "not applicable" if you have never been elected).
Assessor
Auditor
Clerk
Commissioner
Coroner
Council
Recorder
Surveyor
Treasurer
Not Applicable
Required 5.

Select how many elected terms of office you have held.

Not applicable
Less than 4 terms
4 Terms
5 Terms
6 Terms
7 Terms
8 Terms
9 Terms
10 Terms
11 Terms
12 Terms
13 Terms
More than 13 Terms
Required 6.

Please type in the year you were first elected to a county office. 

 

50 characters left.
7.

If you have never been elected to office but have worked as an employee of any county government office during most of your career, please tell us which offices you have served and how many years of service you will have completed when you retire in December. Please also let us know which role(s) you served (job titles would be fine).

(If you have served in an elected office, you may skip this question)

 

50 characters left.
8.

What is your best advice to newly elected officials? 

(Please only answer this question if you will allow us to quote you in the November-December issue of the Indiana News 92 magazine.)

 

50 characters left.
9.

May we recognize your years of service in an upcoming issue of the Indiana News 92 magazine by name?

Yes
No
Required 10.
Please enter the information below so we may contact you with any questions. If you answered "yes" to questions 8 & 9 above we will print your name, county, job title, years of service and advice (if you answered that question) in an upcoming issue of the Indiana News 92 magazine in order to recognize you and help incoming newly elected officials to hit the ground running when they take office in January.

First Name:
Last Name:
Job Title:
Work Phone:
Email Address:
emailaddress@xyz.com
County: