Board Demographics Form Board Demographic Form Name(Required)Date MM slash DD slash YYYY Demographics Male Female Other 21-30 years of age 31-40 years of age 41-50 years of age 51-60 years of age 61-70 years of age 71+ years of age Ethnicity African-Canadian Asian Caucasian Hispanic Indigenous Other Expertise in Legal Issues Personnel Management Financial Management Business Development Social Media/Marketing Project Management Business Network Administrative/Support Building Relationships Government Affairs Influence with Power Group Business/Financial Community Ethnic/Minority Groups Media Members Industry Segments Government Location of Home Bible Hill/Onslow Debert/Belmont Economy/Five Islands Masstown/Great Village Millbrook/Hilden Stewiacke Tatamagouche Truro Other Location of Business Bible Hill/Onslow Debert/Belmont Economy/Five Islands Masstown/Great Village Millbrook/Hilden Stewiacke Tatamagouche Truro Other Available Time to Commit High Medium Low Available Resources High Medium Low Δ
