Arts Leadership Collective Intake Survey

First Name *

Last Name *

Company Name

Job Title

What is your connection/work in the arts?

Email

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Demographic information is required for many grant applications. Thanks for helping us track this important information.

What is your gender?

What is your race/ethnicity?

Do you identify as having a disability?

No

What is your age?

These questions help us plan programming

How many years have you been in your current role?

What is your organization's Gross Revenue? *

Why do you want to join the Support Group?

Which time of day works best for you to meet with the group every month?

What is your #1 challenge as an arts Executive Director right now?

What are you hoping to achieve by participating in this Support Group?

How much do you love what you do everyday?

(1 - low, 10 - high)

How would you rate your motivation to come to work everyday? (be honest)

(1 - Low, 10 - High)

How would you rate your confidence and ability to show up as the leader you want to be?

(1 - Low, 10 - High)

How would you rate the amount of time you dedicate to your own self development?

(1 - Low, 10 - High)

What are your biggest strengths as a leader?

What are your current personal leadership gaps?

What new skills are you looking to develop through joining?

Data Privacy & Consent

By registering, participants consent to being added to our newsletter mailing list. All event registration constitutes an agreement to photography, audio recording, video recording and its/their release, publication, exhibition, or reproduction to be used for news, web casts, promotional purposes, telecasts, advertising, inclusion on websites, social media, or any other purpose by Triangle ArtWorks.

By submitting this form, you will be joining the Arts Leadership Collective mailing list, as well as Triangle ArtWorks newsletter list. Know that, because we use a CRM, removal of your name from one, removes it from both.

Create an account to save your information and access our online portal!

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