CNL Organizing Academy: 2017 Advanced Course Application- Due: May 1, 2017

CNL's NYC Organizing Academy course is designed for individuals currently working in community organizing, who are interested in supplemental training. The course will meet for three hours, from 9:30 am to 12:30pm, two Fridays each month starting in September and will run through June.

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* 1. Contact Information

Primary Contact Name *

Organization *

Title

Address 1

Address 2

State

ZIP/Postal Code

Email Address

Phone Number

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* 2. Is your organization a member of:

ANHD

NYIC

Both

Neither

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* 3. Is organizing central to the work of your organization?

Yes

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* 4. Is organizing central to the work (or anticipated work) of the applicant?

Yes

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* 5. Direct Supervisor Information: Leave blank if same as above.

Name

Organization

Title

Email Address

Phone Number

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* 6. Applicant information: Leave blank if same as above.

Applicant Name

Organization

Applicant Title

Applicant Email Address

Applicant Phone Number

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* 7. Applicant is:

Paid Staff

Volunteer

Other

Other (please specify)

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* 8. How much organizing experience does the applicant have?

Less than 1 year

1-3 years

3-5 years

5-7 years

7 years or more

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* 9. Describe the applicant's organizing experience. Please be sure to have the applicant contribute to this response.

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* 10. Describe the applicant's previous organizing training. Please be sure to have the applicant contribute to this response.

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* 11. What organizing project is the applicant currently working on, either as paid staff or volunteer, and what are the goals of the project. Please be sure to have the applicant contribute to this response.

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* 12. Does the applicant currently supervise other staff?

yes

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* 13. What does the applicant hope to gain from participating in the program? Please be sure to have the applicant contribute to this response.

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* 14. The applicant commits to attending all sessions, notifying CNL staff if illness or an emergency prevents the applicant from attending, and agrees to make up all missed work. The supervisor commits to facilitating this process. Please initial below:

Applicant

Supervisor/Executive Director