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* 1. As a member of the Governing Body, we effectively conduct/participate in long term planning.

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* 2. As the Governing Body, we effectively develop and approve policies.

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* 3. As the Governing Body, we establish resource development targets and goals.

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* 4. We regularly review fiscal financial reports.

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* 5. We approve the organization’s annual budget.

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* 6. As the Governing Body, we review and formally accept the annual audit.

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* 7. As a member of the Governing Body, I review and provide input regarding the organization’s quality improvement activities initiatives.

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* 8. As members of the Governing Body, we receive information on the organization’s program outcomes and outcomes for persons served.

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* 9. The organization’s Governing Body and the CEO or Executive Director have an effective working relationship.

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* 10. At least annually, as members of the Governing Body, we assess areas of risk to the organization.

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* 11. We receive quarterly reports of immediate and ongoing risk within the organization.

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* 12. The organization collaborates with the community regarding issues of mutual concern.

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* 13. I received an orientation as to my Governing Body responsibilities.

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* 14. The organization’s Governing Body is representative of the community it serves.

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* 15. To your knowledge, within the last four years, has the organization had any allegations or findings of professional misconduct?

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* 16. Within the last four years, has the organization had any allegations or findings of financial malfeasance?

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* 17. Has the organization failed to comply with laws and regulations governing equal opportunity and workforce administration?

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* 18. Has the organization had any investigations by a regulatory or other monitoring body, which identified significant problems at the organization?

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