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 10 minutes to complete.

Thanks for your interest in the EPIC Membership program!

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* 1. Your Name

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* 2. Email address

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* 3. Current Experience: The following 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. Past Experience: This section is about your previous experiences working in the non-profit sector. These experiences can include both leadership and non-leadership roles.

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