Board Survey

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Board Survey

The survey will take approximately 20 minutes to complete on-line and will be returned to Amanda Martinelli. All responses are confidential and for internal use only of The Hartford Bishops’ Foundation, Inc.

Engagement and Information

Name

Nickname

Birthdate

Spouse Name

Spouse Nickname

Spouse Birthdate

Anniversary Date

Cell Phone

Email

Free Text

Home

Address

Phone

City

State

Zip Code

Free Text

Business

Title

Company

Address

City

State

Zip Code

Email

Assistant's Name

Assistant's Email

Preferred Mailing Address

Home

Business

Alternate

Preferred Method of Contact

Email

Phone

Text

Mail

Will your company, or another organization you are associated with, match your gift to HBF?

Yes

No

Free Text

Spouse's Occupation

Title

Company

Address

City

State

Zip Code

Free Text

Children

Name

Birthdate

Secondary School

College

Name

Birthdate

Secondary School

College

Name

Birthdate

Secondary School

College

Name

Birthdate

Secondary School

College

Name

Birthdate

Secondary School

College

Free Text

Alternate Addresses

Check one:

Summer

Winter

Other

Time Period

Address

Check one

Summer

Winter

Other

Time Period

Address

Check one

Summer

Winter

Other

Time Period

Address

Free Text

Education

Undergraduate

Date Recieved

Discipline

Postgraduate 1

Date Recieved

New Field:

Degree

Postgraduate 2

Date Received

Discipline

Degree

Free Text

Other Leadership Positions

Name of Organization

Position Held

Term of Service

Name of Organization

Position Held

Terms of Service

Name of Organization

Position Held

Terms of Service

Name of Organization

Position Held

Terms of Service

Free Text

Philanthropy and Engagement

Grant Making Foundations- If you have a personal or professional contact please list the name and title and indicate your willingness to make an introduction for HBF:

Corporate and Foundation funders are committed to ensuring grantee leadership is representative of the communities they serve. Do you identify as:

African American, Black, Caribbean

Asian

Caucasian

Latino/Hispanic

Native American

Other

Please share areas of interest or special skills you would like to share with the HBF:

Human Resource Management

Finance/Accounting

Investment Management

Marketing and Communications

Real Estate, Construction, Property Management

Estate Planning

Social Justice

Education

Other

Board Prospecting- Please note individuals whose philanthropic and personal values align with our mission and should be considered as leadership gift and/or Board of Directors prospects:

Legacy Planning- HBF is committed to building an endowment to solidify its role in supporting the Archdiocese of Hartford, its parishes, schools, and social ministries through a variety of strategies, including gift planning. Have you already made a provision for HBF in your estate plans?

Yes

No

Speakers- Please list any individuals you would be willing to recruit as a speaker for HBF events and their relevant content areas (i.e. celebration of life and estate planning, current topics in religion):

Events- Please list any organizations you are connected with that could offer an interesting venue for HBF events and/or your willingness to host:

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467 Bloomfield Avenue
Bloomfield, Connecticut 06002

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Board Survey

Engagement and Information

467 Bloomfield AvenueBloomfield, Connecticut 06002

467 Bloomfield Avenue
Bloomfield, Connecticut 06002