BOARD SELF-ASSESSMENT: How much do you Agree or Disagree with these statements? (Check one box for each statement.)

SD = Strongly Disagree; D = Disagree; A = Agree; SA = Strongly Agree; NS = Not Sure.

MISSION AND PURPOSE

The nonprofit has a clear written mission statement that reflects its purpose. SD D A SA NS

The board’s policy decisions and the nonprofit’s programs and services reflect the nonprofit’s mission.

SD D A SA NS

SELECT AND SUPPORT THE CHIEF EXECUTIVE AND REVIEW HIS OR HER PERFORMANCE

The board has approved a written job description that clearly spells out the responsibilities of the nonprofit’s chief executive officer/executive director.

SD D A SA NS

The board delegates all day-to-day management decisions for the nonprofit to its chief executive. SD D A SA NS

The board assesses the chief executive’s performance on an annual basis. SD D A SA NS

APPROVE AND MONITOR THE ORGANIZATION’S PROGRAMS AND SERVICESThe board is knowledgeable about the nonprofit’s current programs and services. SD D A SA NS

The board knows the strengths and weaknesses of each major program. SD D A SA NS

The board approves an annual operating plan, monitors implementation, and makes sure that the programs are evaluated in order to measure success and impact.

SD D A SA NS

RAISE MONEY

The board understands the fundraising strategy for the nonprofit. SD D A SA NS

The board has a clear policy on the individual board member’s responsibility to raise money. SD D A SA NS

ENSURE EFFECTIVE FISCAL MANAGEMENT

The board discusses thoroughly the annual operating budget of the nonprofit before approving it. SD D A SA NS

The board receives financial reports on a regular basis that are understandable, accurate, and timely.

SD D A SA NS

The board requires an annual audit and considers all recommendations made in the independent auditor’s report and management letter.

SD D A SA NS

ENGAGE IN STRATEGIC PLANNING

The board focuses most of its attention on long-term, significant policy issues rather than day-to-day administrative matters.

SD D A SA NS

The board has a strategic vision of how the nonprofit should be evolving over the next three to five years.

SD D A SA NS

CAREFULLY SELECT AND ORIENT NEW BOARD MEMBERS

The board has an effective process to identify the qualifications and expertise that new board members should bring to the nonprofit.

SD D A SA NS

The board cultivates and recruits candidates who are representative of the community and possess the qualities needed to strengthen board composition.

SD D A SA NS

The board provides new board members with a comprehensive orientation to board responsibilities, the nonprofit’s services and programs, and administrative procedures.

SD D A SA NS

The board has established policies for length of board service and rotation of board members. SD D A SA NS

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BOARD SELF-ASSESSMENT: How much do you Agree or Disagree with these statements? (Check one box for each statement.)

SD = Strongly Disagree; D = Disagree; A = Agree; SA = Strongly Agree; NS = Not Sure.

UNDERSTAND RELATIONSHIP BETWEEN BOARD AND STAFF

The respective roles of the board and staff are clearly defined and understood. SD D A SA NS

A climate of mutual trust and respect exists between the board and the chief executive. SD D A SA NS

The board gives the chief executive enough authority and responsibility to lead and manage the organization successfully.

SD D A SA NS

The board has adopted adequate personnel policies for staff selection, training, promotion, and grievance procedures.

SD D A SA NS

ENHANCE THE ORGANIZATION’S PUBLIC IMAGE

Board members promote a positive image of the organization in the community. SD D A SA NS

The board understands who can serve as the official spokesperson for the organization. SD D A SA NS

MEETING EFFICIENCY

Board members are familiar with the bylaws. SD D A SA NS

Board meetings are interesting, well run and start on time. SD D A SA NS

Board members receive clear agendas and supporting written material sufficiently prior to board and committee meetings.

SD D A SA NS

Board members respect each other’s opinions, and participate in board discussions. SD D A SA NS

Board minutes are accurate, timely and easy to understand. SD D A SA NS

Board members have adequate opportunities to discuss issues and ask questions. SD D A SA NS

BOARD COMMITTEES

The board has the right number and kind of committees to perform its work effectively. SD D A SA NS

Committee assignments reflect the interests, experience, and skills of the board members. SD D A SA NS

Each committee has a written responsibility description and an annual plan of work. SD D A SA NS

ENSURE LEGAL COMPLIANCE AND SOUND RISK MANAGEMENT POLICIES

The board annually reviews the operations of the nonprofit to make sure it complies with all the requirements imposed on a federally qualified health center or look-alike.

SD D A SA NS

The board ensures nonprofit compliance with all applicable federal, state and local laws and regulations.

SD D A SA NS

The board has an adequate amount of liability insurance to cover board members and staff in the event of lawsuits filed against them as individuals or against the nonprofit as a whole.

SD D A SA NS

Any Additional Comments?

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