Board Needs Assessment
Our DiverseForce on Boards program helps nonprofit organizations to harness the power of diversity on their boards by providing a board candidate pipeline of diverse professionals of color, who are trained in nonprofit leadership and governance at through our partnership with the University of Pennsylvania School of Liberal and Professional Studies and ImpactED at the University of Pennsylvania. Please take a few minutes to fill out the following Board Needs Form to learn more about becoming a DFOB (DiverseForce On Boards) Matching Partner. Your answers will be kept private, but select answers may be shared with potential matches.
What is your organization's name?
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How would you best describe your organization's primary focus?
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Please Select
Addiction Recovery
Advocacy
After-School Activities
Business & Entrepreneurship
Child Care
Community Development
Education - Adult
Education - Youth
Financial Literacy
Food, Agriculture & Nutrition
Foundations
Health Care / Health Issues
Housing Related
International, Foreign Affairs & National Security
Mentoring
Other
Performing Arts
Philanthropy, Voluntarism & Grant Making
Public Safety, Disaster Preparedness & Relief
Religion Related
Science & Technology
Seniors
Transitional Housing
Violence Prevention
Workforce Development
Youth Development
Organization's Office Address:
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Primary Contact First Name
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Primary Contact Last Name
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Primary Contact Title
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Primary Contact Email (This is your Unique ID)
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Primary Contact Mobile Phone #
By providing this #, you authorize DiverseForce to send occassional text messages or call.
Secondary Contact First Name
Secondary Contact Last Name
Secondary Contact Email
How is your organization registered?
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Please Select
501c3
501c4
501c6
For-Profit
Other
What year was your organization founded?
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What is your organization's approximate annual Gross Receipts/Revenue?
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Please Select
Below $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $2,500,000
$2,500,000 - $5,000,000
$5,000,000 - $10,000,000
$10,000,000 - $20,000,000
$20,000,000 - $50,000,000
$50,000,000 and up
Does your organization have Directors & Officers liability insurance?
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Please Select
Yes
No
How many full-time employees do you currently have?
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Please Select
No Employees
1 - 5
5 - 10
10 - 20
20 - 50
50 - 100
100 - 250
250 - 500
500 - 1,000
1,000 - 2,500
2,500 - 5,000
5,000 - 10,000
10,000+
What is your organization's website address?
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"http://..."
What type of board seat are you filling?
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Please Select
Governing Board Seats (Fiduciary)
Advisory Board Seats (Non-Fiduciary)
How many board members do you currently have?
How many open board seats are you currently looking to fill with diverse talent?
Do you have board member term limits? If so, how many years?
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Does your board have a minimum required financial contribution?
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Please Select
Yes
No
What is your minimum "give" expectation?
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Please Select
"What's meaningful to board member"
$500 or Less
$500 - $1,000
$1,000 - $2,500
$2,500 - $5,000
$5,000 - $10,000
$10,000 or more
What is your minimum "get" expectation?
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Please Select
"What's meaningful to board member"
$500 or Less
$500 - $1,000
$1,000 - $2,500
$2,500 - $5,000
$5,000 - $10,000
$10,000 or more
Are there any exceptions to the "Get/Give" expectations?
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How many times a year does your board generally meet?
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Please explain your current board needs as far as profile of board member.
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Who were you referred by?
Any other comments?
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