High PotentialApplication Form - 2015

Instructions

Applications must be submitted using this paper form or the online form no later than 5:00 p.m. EST on February 16, 2015. Applications received after this date will not be considered. Applicants will be notified of selection decisions by February 27, 2015. Applicants must commit to participation by registering online and remitting full payment by credit card by March 4, 2015.

If you have any questions about the program or eligibility requirements, please contact Jim DeChant,954-761-9503, x.110or .

Candidate contact info

First Name
Last Name
Work Phone
Email Address
Organization Name
Current Position / Title
Work Address

5. Organization's annual operating revenue

Budget / Select
$2,000,000 - $3,000,000
$3,000,000 - $5,000,000
$5,000,000 - $10,000,000
> $10,000,000

6. Length of time in your current position.

Duration / Select
1 - 2 years
2 - 3 years
3 - 4 years
> 4 years

7. Length of tenure at your organization.

Duration / Select
1 - 2 years
2 - 5 years
5 - 10 years
> 10 years

8. Number of years of nonprofit management experience

Duration / Select
1 - 2 years
2 - 5 years
5 - 10 years
> 10 years

9. How many employees are under your direct supervision?

10. Immediate supervisor's name / title

11. How do you believe you will benefit from participating in this leadership development program? (maximum 1,000 characters)

12. How will your participation in this leadership development program benefit your organization and be a good investment of the organization's resources? (maximum 1,000 characters)

13. Describe your leadership style, as it applies to your specific approach to a challenge or problem your organization faced in 2014. (maximum 1,000 characters)

14. What leadership and people management challenges are you currently working to resolve? (maximum 1,000 characters)

15. What professional development opportunities have you taken over the past three years to advance your leadership skills? How did these programs influence your growth as a leader? (maximum 1,000 characters)

16. Please confirm that you will comply with all of the requirements of the program by placing a check next to each statement listed below:

Requirement / I Will Comply
You will submit via email a current resume as part of the application process
You will furnish via email a letter of recommendation to participate from your organization's CEO/ED
Payment of program fee is required and will be due upon selection
You will complete all required pre-work and pre-program assessments
You will attend all sessions
You will fully engage with assigned leadership coach
You will complete all session and program evaluations
You will complete the post-program assessment

The Community Foundation of Broward's Selection Committee has developed a scoring system using a 3-point scale for individual review criteria. Selections will be based on the Committee's scores of the overall quality of the application, resume and recommendation letter. The selection shall be made without regard to race, color, national origin, gender, sexual preference, or disability.

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