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Board Evaluation Form - Page 3

Your name: _____________________

Date: __________________________

Name of Board Member being evaluated:__________________________

  5    4   3   2   1

VeryGoodAvg.FairPoor

Good

Does the Board member:

21.

Have high ethical standards?_________________________

22.

Appear supportive of management yet hold

management to high standards?_________________________

23.

Maintain a cordial, professional and independent

relationship with management?_________________________

24.

Avoid making decisions without adequate discussion

and /or information?_________________________

25.

Realize the high level of responsibility they have in

protecting the members’ assets?_________________________

Additional Comments regarding Board member being evaluated:

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