EPIC Member Application Form

This application form is designed to help the EPIC team gather info for potential participants of the EPIC Membership program. Please take the time to fill this form out and we will be back to you in as soon as we can with next steps.  EPIC evaluates applications based on a range of criteria according to what we have learned makes the most effective member experiences. This form should take about 5-7 minutes to complete.

Thanks for your interest in the EPIC Membership program!
-John, Mikey and the EPIC team

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* 1. Your Name

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* 2. Email address

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* 3. Current Experience: The following 6 questions are about your current role as a non-profit leader. This information will help us ensure a variety of challenges, opportunities, and priorities are reflected by the cohort, and will help guide the focus of our sessions.

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* 4. How many years have you been in your current role?

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* 5. Which sectors does your organization support? (select all that apply)

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* 6. How many full time staff work at your organization?

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* 7. What is your organization's annual operating budget?

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* 8. What are driving your interests to engage in EPIC's Membership program at this time?

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* 9. How can we make EPIC's Membership program the BEST possible experience for you? Anything we can support you with to participate fully?

Thank you for taking the time to fill out this form! In terms of next steps, please follow this calendly link to book a 1:1 call with Mike so we can learn a little bit more about you and your interest in our Membership Program. 

If you have any questions feel free to email Mike directly at mike@epicleadership.ca

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