Language English Español Português Affinity Group Leader Questionnaire Your Contact InformationPlease review your contact information and make any updates needed.First Name(Required)Last Name(Required)Email(Required) Phone(Required)Address(Required)City(Required)State(Required)Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonMarylandMassachusettsMichiganMinnesotaMississippiMissouriPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip(Required)Affinity Group Leadership InformationAccording to our records, you are currently serving in the role and affinity group below.RoleAffinity GroupAre you willing to continue serving in the role and affinity group provided above?(Required) Yes No Is there someone else serving in this role currently, or is there someone you would recommend?(Required) Yes No What is the name of the person currently serving or who you're recommending?(Required)If you can provide it, what is their email address? If you can provide it, what is their phone number?Affinity Group Activity InformationThe following questions are about the activity and governance of your affinity group listed above.To your knowledge, has your affinity group held any meetings or other activities in 2023 or so far in 2024?(Required) Yes No To your knowledge, has your affinity group ever created a charter, bylaws, or other governing document for the group? This would include policies and proceedures for choosing affinity group leadership.(Required) Yes No Are you able to share this governing document(s) for your with the Executive Committee?(Required) Yes No Please upload the governing document(s) for your affinity group to share them with the Executive Committee.(Required) Drop files here or Select files Accepted file types: doc, docx, pdf, Max. file size: 512 MB. Your Concerns and SuggestionsPlease share concerns or suggestions you may have with the Executive Committee regarding affinity group development and support. Please share any thoughts about your experience as a leader for your affinity group.This field is hidden when viewing the formContact SFIDThis field is hidden when viewing the formAffinity Group SFIDThis field is hidden when viewing the formEmail Campaign ID Δ
