Change Impact Consultant Application (Organization)
Thank you for your interest! Please complete each question below thoroughly. Your application will be assessed for fit with our criteria: significant experience leading and supporting youth-serving agencies/schools; unique services that use multiple modalities; and commitment to an equity agenda. If your application meets our criteria, Change Impact will email you within two weeks to schedule a Skype or phone call, as well as to request your resume and three references.
Organization name *
Primary contact name (first and last) *
Email *
Phone number *
Website *
Please describe your organization's experience delivering PD and capacity-building services. *
If you are proposing TRAINING, please describe 2-3 learning modules that you would like to list. Indicate the topic, audience, and format(s) (e.g., in person workshop, coaching, webinar, etc.).
If you are proposing CONSULTING services, please describe the services you provide and your relevant experience (strategic planning, group facilitation, evaluation, grant writing, program design, other).
Will you make yourself available for 30-minute consultations with potential clients before they hire you at no charge? *
Please describe how your team enacts a commitment to equity and inclusion in your work. *
Please list the names and titles of any staff from your organization who would be responsible for delivering services through Change Impact. *
Is there anything else you'd like us to know about your organization?
Please confirm that you understand Change Impact's policy to hold a 10% transaction fee on all fees. *
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