2019 AIGA Seattle Changemaker Series / Application for Nonprofits & Change Organizations
Questions? Check out seattle.aiga.org/changemaker/faq to read through the most frequently asked questions, or email changemaker@seattle.aiga.org. Application closes Sunday, March 10th at 11:59 p.m. PST and must be submitted through this Google Form by this date and time.

There are no character limits to the below questions. Please be as descriptive as you feel necessary in order to fully answer the question. For ease of editing, you can download the application as a Word document at bit.ly/cm2019-org-app-doc — but be sure to submit your final answers through this form here.

Organization Details
Organization Name *
Your answer
Organization Address *
Your answer
Organization Phone Number *
Your answer
Organization Website *
Your answer
Applicant Details
Applicant Name & Role *
Your answer
Applicant E-mail *
Your answer
Applicant Phone Number *
Your answer
Preferred Contact Method? *
Project Point Person
Who will be the project point person for your organization? *
Name and Role *
If you will be the project point person, please enter "myself"
Your answer
Phone number *
If you will be the project point person, please enter "same"
Your answer
E-mail *
If you will be the project point person, please enter "same"
Your answer
Preferred Contact Method? *
Your Organization
What is your organization's mission and vision? *
Your answer
What category best describes your organization? *
How long has your organization been operating? *
Your answer
How many paid staff members serve in your organization? *
Your answer
How many volunteers serve your organization? *
Your answer
What programs, activities, or services do you provide? *
Please be specific (geographic area, species, population, etc.) and provide examples, if possible.
Your answer
What differentiates your organization from similar organizations? *
Your answer
What are your organization's short-term and long-term goals? *
Your answer
What are your organization's toughest challenges? *
Your answer
The Changemaker Series Project
How would participating in the Changemaker Series help your organization achieve its goals or address its current challenges? *
Your answer
Who will be involved in decision making for the Changemaker Series project? *
Your answer
Who in the organization will be the final decision maker(s) for the Changemaker Series project? *
Your answer
In order to provide a needs-driven solution, your creative team needs to be able to engage with stakeholders at your organization. This may (but does not necessarily) include staff members, board members, volunteers, donors, and your audience. Do you anticipate any challenges with the creative team engaging with your stakeholders from May to September 2019? *
Your answer
What factors would make this a successful project for your organization? *
Your answer
What final product(s) does your organization hope to receive? *
Your answer
How might your organization sustain the efforts made by your creative team once the Changemaker Series has ended? *
Your answer
Involvement and Availability
Please confirm your ability to participate on the following dates: *
Attendance of these events are mandatory by you, or a representative of your organization, if selected to participate in the Changemaker Series.
Available
Not Available
Changemaker Kickoff: Friday, May 3 (Evening) *
Workshop Weekend: May 4 – 5 (All Day) *
Changemaker Showcase: Thursday evening in September, exact date TBD *
If you have any questions or conflicts regarding the dates above, please list them here.
If different people will need to cover the different event dates, please explain further below. Note that having one person attend all events will ensure consistency throughout the process.
Your answer
There is a marginal program fee for the series. Would that prevent your organization from participating? *
Your answer
How did you hear about the Changemaker Series? *
Your answer
Do you have any other questions, concerns, or suggestions?
Your answer
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