Mind Share Partners Institute Scholarship
Complete this form to nominate yourself or someone else for the chance to receive a full scholarship to Mind Share Partners' Fall 2021 cohort for Mind Share Partners Institute! (valued at $1000.00).

The Institute is our online certification program that leverages expertise from mental health, management, and legal fields to help you develop the knowledge and skills to create a mentally healthy culture for yourself, your team, and your organization.

Eligibility requirements:
1. Nominees must work in the nonprofit sector in direct service, advocacy, or social justice and have between 25 and 500 full-time employees—foundations and other intermediaries do not qualify.
2. Nominees must be in an HR, Talent, DEI, or manager role looking to be a mental health champion and support employees within their organization.
3. Each nominee must be able to demonstrate an interest in this program based on how it would support their current role and the organization’s goals.

This form must be fully completed in order for the submission to be eligible. We will accept submissions through Wednesday, September 1st before 5 PM PST (8 PM ET). Five qualifying winners will be chosen in a random drawing and alerted by email on the afternoon of Friday, September 3, 2021. Winners must meet all of the criteria mentioned above. If you don’t get selected this time, we’ll put your application back in the running for our next drawing.
Email *
Who are you nominating? *
Please provide the name of the nominee *
What organization does the nominee work at? *
Nominees must work in the nonprofit sector in direct service, advocacy, or social justice and have between 25 and 500 full-time employees—foundations and other intermediaries do not qualify. Does the nominee meet these qualifications? *
What issue area does the nominee work in? *
What is the role of the nominee within their organization? *
Please provide the work email of the nominee *
If you are nominating yourself, why do you want to win this scholarship and how would this program support your current role and organization goals? If you are nominating someone else, why are they a good fit for this scholarship and how do you see this program supporting their current role/organization? * *
If you are nominating someone else, please provide your work email. (Note: This is required for nominating someone else. If you are nominating yourself you can input "N/A" below.) *
If you are nominating someone else, please provide your name. (Note: This is required for nominating someone else. If you are nominating yourself you can input "N/A" below.) *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Mind Share Partners. Report Abuse