Skip survey header

LeadingAge Board Candidate Intake

Thank you for taking the time to complete our LeadingAge Board Candidate Intake form. We hope to understand how your experience might align with the strategic needs of our board at this time.
This question requires a valid email address.
5. Provider/Organizational Service Area *This question is required.
  • * This question is required.
6. Lines of Service (Select all that apply) *This question is required.
  • * This question is required.
9. Expertise & Skills Assessment (Check all that apply)

Please indicate the areas where you hold significant professional expertise and experience—meaning you have formal training, deep applied experience, and a level of knowledge beyond general exposure. These are areas where you feel confident providing insight, guidance, or direct leadership. (Selecting a skill area means that you have high-level of proficiency in this area.) *This question is required.
11. Are you currently serving on a board of directors for another organization? *This question is required.