And thank you for registering for the New York Bolder Board Training in 2019. We'd like to get to know a little bit more about you, your organization and your goals to make the most of our time together. We request that you complete and return this form to us by October 21st. Thank you.


Our intention is to make a difference with every person in the room and every organization each of you represents. Our goal is to cause a transformation, a fundamental shift in the way you, and your board, see the issues we are discussing. We achieve that goal together, and one of the things we need from you in order to make this happen is a good understanding of what we like to call the “listening” into which we will be speaking. Its important for us to know who you are, and what you are up to in the world, so that we can make this day the best possible experience for you. Please take a few minutes to look at the questions below, give them a little thought, and complete and submit this form. That way we will have your thoughts in mind as we are preparing for the day we will spend together.  Thank you for the difference you make in the world. We look forward to working with you to expand on it.



Please answer the questions below as fully as you are able. 

Your Name *
Your Name
Please tell us the full name of the organization you will be representing at the Training so that we can seat you together with your colleagues.
Please tell us a little about the charitable organization on the board of which you serve or for which you work - what's the nature of the work and the impact?
Approximately how large is the annual expense budget of the organization?
How many of the other board members (and/or) staff from your organization do you estimate might be attending and can you tell us who they are?
Are you attending with a friend or member of your community that you would like to be seated with? If so please tell us who they are.
What goals do you have for your participation in the Training?
How many years have you been on the board (or staff) of this organization?
How did you hear about the training?
Tell us when, where, if you remember!
Photo/Video Release *
You will be requited to sign a photo/video release form at the Training. Please check the box below to confirm you understand and agree, or let us know if you have a question and one of our team will contact you to discuss.
Do you have any special needs we should know about?
Is there anything else you would like to tell us?
Can we share your name, email and phone number with other participants so you can connect?