ARTS Leadership | Awaken. Reflect. Transform. Sustain.

Participant Interest Form

This is a sponsored project of Arts Council of Arts Council of Winston-Salem & Forsyth County and funded through ARPA supported by the Forsyth County Board of Commissioners. Interest forms will be received and reviewed by Fourward Bound.

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* 1. Your Name:

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* 2. Your Organization:

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* 3. Your Title:

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* 4. Your Email Address:

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* 5. Your Telephone Number:

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* 6. Your Gender Identity:

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* 7. Your Racial Identity:

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* 8. Select the group that includes your age:

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* 9. Please briefly describe any prior work you have done with the Enneagram or other personality/self awareness tools.

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* 10. What are you hoping to take away from the program that will make it a good use of your time and energy?

The ARTS Leadership Cohort is a community of practice. To be effective, participants will need to be willing and comfortable to share about themselves in front of dyads/triads/the full group, at times using specific examples from their work experience and at times about characteristics of their personality of which they may not be especially proud.

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* 11. Please rate your degree of willingness to engage in this way.

I'm not sure this is for me, but I'm curious.

I'm skeptical, but I'd give it a try.

I'm unsure.

I'm willing to engage, but will likely keep some boundaries.

I'm willing to engage freely if the space feels safe.

I'm an open book.

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* 12. Please share ideas or conditions that would create space that makes you even more comfortable and willing to engage.

Selected participants are expected to fully engage in every aspect of the program. This means being on time to each session, staying for the entire session, and being free of distractions from phones/computers/etc. other than during scheduled breaks. While we understand that unexpected emergencies arise, it is expected that participants will make every effort communicate challenges in advance and comply with these expectations. In the event that a participant misses more than 3 hours of the total program, the participant may be excused from the program and the organization they represent will be responsible for reimbursing ACWSFC the cost of their seat: $550.

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* 13. Please check all that apply.

I understand and agree to the participation expectations.

I am available to participate for the in-person kick-off on March 13 from 1-5p

I am available to participate for the in-person kick-off on March 14 from 9a-1p

I am available to participate in the Zoom-based session on March 28 from 2-5p

I am available to participate in the Zoom-based session on April 11 from 2-5p

I am available to participate in the Zoom-based session on April 25 from 2-5p

By entering your Supervisor's information below, you affirm that you have previewed the participation expectations with them and that they are supportive of your participation.

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* 14. Your Supervisor's Name:

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* 15. Your Supervisor's Title:

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* 16. Your Supervisor's Email:

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* 17. Your Supervisor's Telephone Number:

Interest forms will be collected through Friday, January 26 at 5p. Cohort members will demonstrate an interest in self-development work, a willingness to fully engage in a community of practice, and support of the individual’s supervisor. Due to the limited size of the group, all who indicate interest may not be accepted. With limited exception, it is expected that admission will be made in the order that interest forms are received. Interest forms will be collected and reviewed by Fourward Bound. The names of those selected for participation by Fourward Bound will be shared with Arts Council staff to verify they work for a partner organization. You will be contacted no later than Friday, February 2 regarding next steps. Thank you for your interest!