LeadershipInstitute Application

All coursework will take place at the Fox Valley Technical College, Appleton location.

Application Deadline: January 13, 2017

Please type in the grey boxes and text boxes on the application. They will automatically expand to fit your responses.

Name:

Organization:

Title:

AgencyMailing Address:

City:State: Zip Code:

County:

Email:

Phone: Cell Phone: Fax:

Number of years working in the nonprofit sector:

Nonprofit Operating Budget: (Check one)

_____ $200,000

_____ $200,000-$500,000

_____ $500,000-$1,000,000

_____ $1,000,000-$2,000,000

_____ $2,000,000-$5,000,000

_____ >$5,000,000

Mission Statement:

Leadership Institute Application-Page 2

Please answer the following questions:

Taking into account both soft (leadership) and hard (technical) skills, what is your greatest strength right now?

What is your greatest challenge?

Why do you want to participate in this program?

Leadership Institute Application-Page 3

Please also include:

Your resume

Check this box to confirm that your board chair has approved your participation in this program.

If I am selected, I commit to attend all sessions to be held:

Thursday, May 4 and Friday May 5, 2017 8:00 AM-12:00 (Orientation Personal Leadership)

Thursday, June 15 and Friday June 16, 2017 8:00 AM-12:00 (Board/Organizational Leadership)

Thursday, July 13 and Friday July 14, 2017 8:00 AM-12:00 (Finances/Financial Management)

Thursday, September 21and Friday September 22, 2017 8:00 AM-12:00 (Resourcing the Mission)

Thursday, October 19 and Friday October 20, 2017 8:00 AM-12:00 (Operations)

Thursday, December 7 and Friday December 8, 2017 8:00 AM-12:00 (Human Resources)

Thursday, January 25 and Friday January 26, 2018 8:00 AM-12:00 (Marketing/Communications)

Thursday, March 15 and Friday March 16, 2018 8:00 AM-12:00 (Ethical/Legal Issues)

Thursday, April 26 and Friday April 27, 2018 8:00 AM-12:00 (Capstone Course & Wrap Up)

*Nonprofit Leadership Initiative is not responsible for nor does it endorse any site to which training materials provide links. The materials provided in our programs are for informational purposes only and do not constitute legal or financial advice.

______

Participant SignatureDate

Cost is $1,500 for 9 modules.

Applications should be submitted by email to .

You will receive a confirmation email once your application has been received.

If you do not receive a confirmation, contact Kim O’Brien (920-702-7614, ).