Nonprofit Staten Island’s 2025 Action Learning Cohort Application Action Learning ApplicationApplicant InformationFirst NameLast NameRole/Title/PositionOrganizationLength of time in your current role < 1 year 1-2 years 2-5 years 5+ yearsLength of work experience at your current organization < 1 year 1- 2 years 2-5 years 5+ yearsEmailPhone/MobileName of direct supervisorSupervisor’s TitleSupervisor’s Phone/MobileOrganizational & Leadership FocusBriefly describe your current role, particularly in relation to your organization’s mission.What organizational issue or challenge would you like to work on during this program? Please select 1-3 items. Balancing strategic vision with daily operations Maximizing available resources Meeting community needs Meeting grant deliverables Performance management & team dynamics Strengthening community outreach & engagement Strategic decision-making & leadership development Transitioning from peer to supervisor Workload management & prioritizationWhat professional development goals do you have or areas where you seek support? Please select 1-3 items. Coaching & mentoring staff Conflict resolution & team building Developing inclusive leadership skills Effective communication & feedback skills Managing stress & fostering resilience Navigating organizational change Strengthening leadership presence Time management & productivity strategies(Optional) If you have a personal, professional, or organizational goal in mind that does not seem aligned with the choices above, please note it here.Briefly describe any specific challenges or goals related to the selections above.Commitment & ParticipationWhat motivates you to apply for this cohort? Why is this the right opportunity for you at this time?The Action Learning model relies on peer engagement. How do you expect to contribute to this learning community?How will your team or organization benefit from your participation in this program?Have you participated in a cohort-based professional development program before? Yes/No. If Yes, please describe. (NOTE: Prior experience in a cohort-based program is not required for participation!)This program requires a 6-month commitment, including monthly cohort meetings, bi-monthly technical assistance clinics, and three individual coaching sessions. A tentative schedule is available on NPSI’s Nonprofit On-the-Go website. Do you confirm your availability and commitment to fully participate? Yes No Unsure, would like to discuss furtherSupervisor sign-off is required. Do you anticipate securing approval from your supervisor to participate? Yes No Unsure, would like to discuss further(Optional) Is there anything else you’d like us to know about you or your organization?Optional Demographic InformationNonprofit Staten Island is committed to a nondiscriminatory selection process and cultivating an inclusive space that honors and celebrates the diversity of our sector. We also strive to make necessary accommodations to ensure full participation. The following demographic data is collected for aggregate use only and will not impact selection decisions.Gender IdentityRacial/Ethnic Identit(ies)AgeResidential Zip CodeZip Code(s) of Primary Work Service AreaOrganization size (by est. annual budget) Grassroots (<$250k) Small ($250k-$1m) Mid-sized ($1m-$10m) Large ($10+m) Over $50m UnsureDo you require any accommodations to participate in this program? Yes/No, if Yes, please describe and note that this response will be disaggregated to ensure appropriate follow-up from our team.Submit Form
