CICF Board Survey

Name:

First Name

Last Name

Preferred full name for tent card:

Company:

Job title:

Birth date (mm/dd/yyyy)

Business address:

City

State/Province

Zip/Postal

Country

Preferred phone:

Preferred email:

Home address:

City

State/Province

Zip/Postal

Country

Assistant's name:

Assistant's email:

Assistant's phone:

Include assistant on all board and/or committee correspondence?

Yes

No

DEMOGRAPHIC INFORMATION

All questions in this section are optional.

Select the race/ethnicity options with which you mostly closely align. Select all that apply.

Asian/Asian American/Pacific Islander

Black/African-American

Hispanic/Latinx

Multi-Racial

White

Prefer not to respond

Other (please specify)Other (please specify)

Select the following gender identity with which you identify.

Select the following sexual orientation with which you identify.

Straight

LGBTQ+

Prefer not to respond

Other (please specify)Other (please specify)

Select the following religious affiliates with which you identify. Select all that apply.

If you require special accommodations for board meetings, please describe. Let us know if you would like us to contact you to discuss further.

PROFESSION/SKILLS

Please select your primary sector.

Private

Public

Nonprofit

Other (please specfy)Other (please specfy)

Please select the following areas of expertise that you may have. Select all that apply.

GOALS AND INTERESTS

What are your top 3 goals as a CICF board member? (Answers could include: ways you would like to be engaged, things you would like to see changed, impact you would like to have on the community, etc.)

Please rank the CICF strategic plan pathways in order of interest to you.

Culture of Giving

Nonprofit Ecosystem

People and Potential

Regional Connections

GEOGRAPHIC AREAS OF INTEREST

Select the following geographic areas in which you have a particular interest. Select all that apply.

Marion County

Hamilton County

Central Indiana Region (Marion County and the donut counties)

Indiana (statewide)

No preference

PHILANTHROPIC COLLABORATIVE FUNDS & OPTIONS

For my own individual, family, or corporate philanthropy, I am interested in learning more about (optional):

Select all that apply.

Donor-Advised Fund: create a DAF to organize your philanthropy and make grants to the organizations and causes you care about with the assistance of our Effective Philanthropy Team

Corporate-Advised Fund: create a corporate donor-advised fund to organize your business’ philanthropy and engage employees with the assistance of our Effective Philanthropy Team

Planned Giving: create a fund to establish your philanthropic legacy in perpetuity as part of your estate plan through a gift in your will, beneficiary designation, charitable gift annuity, or charitable trust

Scholarship Fund: create a fund to benefit students pursuing post-secondary education (2- or 4- year degree programs; trade, technical or vocational school; graduate school; etc.)

IMPACT Account: create a fund through which you can make loans and equity investments (i.e., impact investments) to social enterprises, including for-profit organizations with a charitable purpose

Initiative Giving: give to the Indianapolis Foundation’s and/or Hamilton County Community Foundation’s specific initiatives that align with your areas of interest.

Unrestricted Giving: giving to the areas of greatest need via The Indianapolis Foundation’s and/or Hamilton County Community Foundation’s unrestricted endowment funds.

I already have one or more funds with the collaborative.

I have already included one or more entities at the collaborative in my estate plan.