International Mountain Bicycling Association: Survey

RLC Nomination Form

1.

Please provide the following personal contact information (* indicates a required field):

*

Name:

First Required	Last Required

*

Email: Required

*

City/State/ZIP:

City Required	State Required	ZIP Required

*2.

Question - Required - Please provide nominee contact information. Include name, address, phone number, and email.

(Maximum response 255 chars, approx. 5 rows of text)

*3.

Question - Required - Approximately how many years has the nominee been mountain biking?

*4.

Question - Required - Approximately how many years has the nominee been active in mountain bike advocacy or your local mountain bike club?

*5.

Question - Required - Please select topics in which the nominee demonstrates particular interest, talent, or skill.
Please make at least 2 selections from the choices below.

	accounting
	finance
	business development
	graphic design
	community-based fundraising
	grant-based fundraising
	business technology
	marketing/PR
	law
	leadership development
	advocacy leadership
	political advocacy
	events-based advocacy
	project management

*6.

Question - Required - In your opinion, how does the nominee fit into your local mountain bike community? A friendly face at the trailhead and local events
A racing enthusiast
A race promoter
An enthusiast who wants to get more involved with mountain bike advocacy
An energetic volunteer
A dedicated advocate that rarely misses a meeting or work party
An enthusiast who is interested in the politics of mountain bike advocacy
A dedicated advocate who is actively involved in the politics of mountain bike advocacy
An organizer that is responsible for some events, meetings, or work parties
A dedicated volunteer that is primarily interested in trailbuilding
An organizer that is primarily interested in managing trail projects
A dedicated volunteer that is primarily interested in parties, social events, or group rides
An organizer that is primarily interested in arranging parties, social events, or group rides
A do-it-all club leader that has a hand in most projects and events
A do-it-all club leader that does everything, or at least tries to do everything
An enthusiast that works in the bike industry
Other - please explain in the next question

*7.

Question - Required - Please briefly describe the nominee's qualifications to be part of the Regional Leadership Council in your region.

(Maximum response 255 chars, approx. 5 rows of text)

*8.

Question - Required - Please list any affiliations that the nominee has with clubs, land management agencies, or bicycle industry organizations:

(Maximum response 255 chars, approx. 5 rows of text)