Application

Applicant
Name*
First Last
Educational Degrees*
Title*

Primary position at the organization you will be representing in the Fellowship
Additional positions of employment and volunteer service
Mobile Phone*
ex: (516)877-1234
Email Address*
Organization
Name of Organization*
Purpose of Organization*
Mission Statement*
DEI Mission Statement
DEI Committee
DEI Officer Name
Website*
Number of Employees*
Number of Board Members*
Motivations
What are your top three leadership priorities for organizational culture?*
Why does anti-oppressive leadership matter to you personally?*
How do you currently define anti-oppressive leadership?*
Who else is applying from your organization and why are you interested in experiencing this Fellowship together?*
Commitments
Will you commit to protecting the necessary time to fully attend all 11 of the monthly 3-hour Fellowship retreats? Fully attending means being present and engaged without interruption or distraction throughout each meeting.*
- Yes
- No
Will you commit to collaborating to design and initiate a culture change project during the Fellowship with plans for sustainable long-term continuation?*
- Yes
- No

Center for Nonprofit Leadership

Contact

E-mail

Phone Number

516.877.4415

More Info

Website

Location

Social Work Building, 240