Request edit access
Resource Acquisition Practitioner
Liberation Medicine School
Sign in to Google to save your progress. Learn more
Name
Email
Is there another contact option that is better for you to be reached at other than email (whatsapp, sms text, phone call, etc) for us to reach out to schedule a follow-up? If so, what is it? 
Are you Black AND part of the Trans, Gender Nonconforming, Nonbinary, Multi-Gender, &/ Agender community? If yes, what name do you give to your gender? 
Pronouns
Where are you located (city/state,/country)?
How did you hear about this role?  *
Do you have any previous experiences with grant-writing? This can be a yes/no response. You do not have to go into detail here; we will talk further in our call.
Do you have any previous experiences with community fundraising &/ donor organizing? This can be a yes/no response. You do not have to go into detail here; we will talk further in our call. 
(This is not as required as the grant-writing experience is; it is appreciated if you have fundraising skills - and if you do not, we can build this skill after hiring)
Are you available for a video call conversation about this role? If yes, kindly list your earliest availabilities. We will reach out via email & any indicated preferred contact methods to schedule the call.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms