Nonprofit Partner Application: Organizational Navigator Program
Please complete this application to express your interest in Support Center's Organizational Navigator Program. We will use this information throughout the beginning process of getting to know your organization and organizational needs.

You will be contacted by Support Center within 48-hours of submitting this form. If you have any questions do not hesitate to email Zach Litif, zlitif@supportcenteronline.org.

Email address *
Organization Name: *
Your answer
Executive Director Full Name *
Your answer
Executive Director's Start Date (Month/ Year) *
Your answer
Board Chair Full Name *
Your answer
Board Chair's estimated length of time in position *
Your answer
Number of Board Members *
Your answer
Number of Staff *
Your answer
Annual Operating Budget *
Your answer
Organization Mission Statement: *
Your answer
Please select any and all of the organizations below that you receive funding from:
If you are funded by DYCD please indicate which cohort: *
Required
1. Approximately how often does your Board engage with your organization? *
2. How would you describe your current board in terms of understanding their role, e.g., supporting the Executive Director, participating in strategic planning, overseeing legal and financial health, and ensuring adequate resources for the agency? What are their strengths and weaknesses? *
Your answer
3. What evidence is there that your board is interested in and willing to commit time to the Organizational Navigator program? *
Your answer
4. Are there any unique opportunities, challenges or developments that would make an Organizational Navigator especially important in 2019? *
Your answer
5. Does your organization have a current strategic plan? *
Required
Participation in all parts of the program are important to successfully accomplish our goals and outcomes. This will require up to 10-hours in the first six to eight weeks of starting the program (it is encouraged that all stakeholders in the organization participate - including board members). By clicking the box below, you are stating that you are committed to successfully completing the six to eight week on-boarding process prior to working with an Organizational Navigator. *
Required
By entering your full name and title below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Support Center | Partnership in Philanthropy. Report Abuse - Terms of Service