PPAP Background Questionaire
Constituent Organization Name
Name of contact person
Contact person's e-mail address
Contact person's phone number
MEMBERSHIP
1. Approximately how many PAs are in your constituency?
2. What is the total membership of your constituent organization?
3. How many fellow members does your constituent organization have?
4. Does your constituent organization have a list of consistent member benefits?
Yes
No
LEADERSHIP / ORGANIZATION
1. Does your constituent organization have vacant board positions?
Yes
No
If yes, which positions?
2. How long has each officer on the board served in their current position?
President
Vice President
Secretary
Treasurer
Director at Large
3. Do you have a student representative on your board?
Voting
Non-voting
No
4. What are your standing committees?
Membership
Public Education
Newsletter
CME
Legislative
Reimbursement
Diversity
Impairment
Student affairs
Other
5. Does your constituent organization have vacant committee chair positions?
Yes
No
If yes, for which committees?
6. On average, how many people sit on your committees?
One member
More than one member
No members
7. Does your constituent organization’s board officers hold committee chair positions?
Yes
No
8. Does your constituent organization hold an annual planning session?
Yes
No
9. Does your constituent organization have detailed position descriptions for each leadership position?
Yes
No
10. Does your constituent organization have timelines developed for all recurring activities?
Yes
No
11. Does your constituent organization have a mission and vision statement?
Yes
No
12. Does your constituent organization have a master calendar?
Yes
No
FINANCE
1. Does your constituent organization have a formal, written annual budget?
Yes
No
2. Does your constituent organization generate any non-dues revenue?
Yes
No
3. Are you incorporated?
Yes
No
COMMUNICATIONS
1. Is your constituent organization formally broken down into regions?
Yes
No
If yes, do your regions have regional directors?
Yes, with a board vote
Yes, but with out a board vote
No
2. Does your constituent organization receive board reports from all board officers and committee chairs at least two weeks prior to each board meeting?
Yes
No
3. Does your constituent organization put out a newsletter?
Yes, it goes out on time
Yes, but it is consistently late
No
4. Does your constituent organization maintain a Web site?
Yes
No
MEETINGS
1. How many meetings are held annually?
Board of Directors
General membership
CME
Strategic planning
GENERAL INFORMATION
1. What are the 3 most important things you wish to accomplish from this PPAP visit?
Thank you for filling out this form.
Please press the submit button to send this form to Constituent Organization Services. If you have any questions or concerns, you may contact Sue Curtis at
scurtis@aapa.org
or by phone at 703/836-2272.