Sabbatical Award Interest Form – BIPOC ED Coalition of Washington State

REQUIRED ATTACHMENTS.

(PDF) Organizational chart or list of your organization’s staff, titles, FT/PT(Required)

Accepted file types: pdf, Max. file size: 2 GB.

(PDF) List of your organization’s board members, with affiliations.(Required)

Accepted file types: pdf, Max. file size: 2 GB.

(PDF) Applicant Resume(Required)

Accepted file types: pdf, Max. file size: 2 GB.

LinkedIn profile link(Required)

APPLICANT CONTACT INFORMATION.

Title(Required)

Phone:(Required)

Email:(Required)

ORGANIZATION CONTACT INFORMATION.

Organization name:(Required)

Organization website:(Required)

Secondary contact email:(Required)

Secondary contact phone:(Required)

ORGANIZATION INFORMATION.

Mission(Required)

In what region of Washington is your organization’s work based?(Required)

What primary demographic communities does your organization serve?(Required)

PERSONAL INFORMATION.

We are solely collecting this information for evaluation purposes. It will not impact the decision-making process.

Age(Required)

Gender(Required)

Race/ethnicity:(Required)

Other aspects of identity you wish to share:

QUESTIONS:

Total number of years of nonprofit executive director/senior leadership experience:(Required)

Total number of years in the nonprofit sector:(Required)

Number of years in your current executive director/senior leader position:(Required)

If yes, when, and for how long?(Required)

If not FT, how many hours per week do you work in your role as an ED.(Required)

Annual salary:(Required)

How will your vision for a sabbatical influence your organization?(Required)

What is your vision for a sabbatical and how will it influence your life?(Required)

How did you hear about the BIPOC ED Coalition Sabbatical Award?(Required)

ELIGIBILITY AND CERTIFICATION

To be eligible, applicants must: Be a BIPOC executive director or organizational senior leader with a central decision-making and visioning role. Have a demonstrated track record of social justice commitment and community engagement. Reside in Washington state, with your work centered in Washington state. Have been in a paid, full-time leadership role at your organization for at least five years. Work with an organization that has the capacity to maintain critical operations and programs while the senior leader is on sabbatical. Work with an organization that has 501(c)(3) tax-exempt status or fiscal sponsorship from a 501(c)(3) organization. Share the BIPOC ED Coalition’s commitment to working in solidarity with other BIPOC nonprofit leaders to promote wellness and restore resources in our communities.

Date(Required)

Comments

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