Community of Practice (CoP) Application Survey

Please complete the following survey as part of your application to participate in a Community of Practice for the Community Engagement Professional Credentialing Program. More information on the credentialing program can be found at credential.compact.org.

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* 1. First Name

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* 2. Last Name

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* 3. What gender pronouns do you use?

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* 4. Email address

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* 5. Phone (cell)

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* 6. Phone (work)

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* 7. Please indicate which Community of Practice (CoP) you wish to participate in. You may apply to participate in both; however, you will only be selected for one (answer will be first choice [ ] and second choice [ ]):

Community Engagement Fundamentals: A general overview of community engagement work and introduction to key concepts.
An individual may earn this micro-credential by effectively and elaborately providing a summary of the foundations of the field and the breadth of community engaged work.

N/A

Community Partnerships: A focus on how to create and maintain mutually beneficial and reciprocal partnerships.
An individual may earn this micro-credential by demonstrating an ability to effectively cultivate, facilitate, and maintain high-quality partnerships with community organizations and representatives.

N/A

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* 8. Please briefly explain why you wish to participate in a CoP for the CEP Credentialing Program:

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* 9. I have completed the self-assessment section of the Community Engagement Fundamentals micro-credential.

Yes

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* 10. I have completed the self assessment section of the Community Partnership micro-credential.

Yes

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* 11. I commit to participating in all virtual CoP meetings

Yes