Action Learning Application Length of time in your current role
Length of work experience at your current organization
Organizational & Leadership Focus
Briefly 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.
What professional development goals do you have or areas where you seek support? Please select 1-3 items.
Briefly describe any specific challenges or goals related to the selections above.
Commitment & Participation
What 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?
Supervisor sign-off is required. Do you anticipate securing approval from your supervisor to participate?
(Optional) Is there anything else you’d like us to know about you or your organization?
Optional Demographic Information Nonprofit 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.
Organization size (by est. annual budget)
Do 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