This document contains a self-assessment for a board member to evaluate their competencies, attributes, knowledge of their role, and expertise to serve on the board. It includes sections to rate skills like communication, problem solving, and leadership. It also has the board member describe their experience, location, interests and availability. Finally, it includes a "Board Skills Matrix" for the member to rate their expertise in areas like finance, operations, and stakeholder management to identify strengths and gaps. The self-assessment aims to help the board member understand how they can best contribute and identify areas for development.