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Participation Technical Assistance Interest Form
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* Indicates required question
Organization
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Your answer
Primary Contact Person
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Your answer
Contact's Email
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Your answer
Contact's Phone
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Your answer
Contact’s Title or Role
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Your answer
Organization's Annual Budget
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Your answer
Which of these are you interested in?
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A workshop or workshop series to improve participation.
1:1 mentoring and coaching on participatory systems for individual staff or leadership.
Program consulting to create more participatory programs.
Technical assistance for shared leadership at the organizational level.
Other:
Required
How are program users involved in the programming they use at your organization? (Can they volunteer in the program they use? How are they involved in decision-making? How do they influence the direction of the program and the organization?)
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Your answer
Do the demographics of your mostly staff resemble the demographics of your program users?
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Yes, mostly.
No, not really.
In some ways, yes. In some ways, no.
Have the people participating in this professional development opportunity participated in Diversity, Equity, and Inclusion trainings before? (Choose one that best applies.)
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No, we haven’t really done that in a meaningful way.
Yes, we’ve had some introductory trainings.
Yes. We have regular, comprehensive professional development that deepens our understanding, challenges us, and advances our practice.
Which description best describes the level of familiarity between program staff and program users at your organization? (Choose one that best applies.)
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Program staff might recognize some regular program users, but don’t know many people by name.
Program staff recognize regular program users and are on a first-name basis with some of them.
Program staff have built relationships with many program users and know about their lives (How many kids they have, what they like to do and what they’re good at, what they do for a living, etc.)
We’re functioning collaborators looking to more effectively share power.
What is your timeframe for professional development?
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Your answer
Does anything else feel important to communicate? (Clarifications on multiple choice responses, other important information, etc.)
Your answer
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