Leadership Experience Survey Form

You can help identify resources and needs in leadership skills by completing this online questionnaire. Your participation will help the CLE develop programs that fit your needs.

Enter all information in the fields below. Click the Submit button when finished.

What type of architect are you?
(If other, please explain):
What AIA Chapter or Component are you most associated with?
Do you currently practice architecture?	Yes No Describe:
Are you a firm/organization leader?	Yes No
Do you participate in the civic life of your community?	Yes No
How many hours a week do you devote to firm/organization leadership activities?
How many hours a week do you devote to civic activities?
Is there a relationship between your business leadership and civic leadership?	Yes No
What leadership role do you currently hold in your firm?
(If other, please explain):
What leadership role(s) do you currently hold in the community? (Check all that apply.)	Boards: Community Religious School Corporate Other (explain) Committees: School Other (explain) Appointed commissions: Community Local State National Other (explain) Elected office: Local State National City Councils City Council Other (explain)
Have you participated in a leadership development program?	Yes No
If yes to the above, what kind of leadership development program did you participate in? (List program(s) and location(s). Indicate all that apply.)	Chamber of Commerce Location: Leadership, Inc. Location: Local business school Location: AIA Location: Other (explain)
Are you interested in learning about firm/organization leadership skills/best practices?	Yes No
What kind of firm leadership practices are you interested in learning more about?	Management Finance Project Marketing Communication Other (explain)
Are you interested in learning about civic leadership skills/best practices?	Yes No
What kind of civic leadership practices are you interested in learning more about?	Boards: Community Religious School Corporate Other (explain) Committees: School Other (explain) Appointed commissions: Community Local State National Other (explain) Elected office: Local State National City Councils City Council Other (explain)
Would you be interested in an AIA leadership development tool?	Yes No
If yes to the above, would you be interested in?	Firm leadership tool Civic leadership tool Other (explain)
Would you be interested in	On-line resources On-line program Leadership Education e-newsletter Presentation template for local/state chapter use Access to speakers bureau National leadership programs
Comments and Suggestions:
Optional information:
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