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 Monday, March 27th.
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 people serve on the organization's board?
Your answer
How many volunteers serve your organization?
Your answer
Who does your organization aim to serve? What programs/activities/services do you provide?
Please be specific (demographics, neighborhoods, etc.)
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 stickiest 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?
Please answer to the best of your ability.
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
What factors would make this a successful project?
Your answer
What deliverables 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:
If selected for this program, a representative from your organization must attend all Changemaker Series events. *Attendance of this event is mandatory by you, or a representative of your organization, if selected to participate in the Changemaker Series."
Available
Not Available
Q & A with the Changemakers: About the Series – March 21 (Evening)
Changemaker Kickoff: June 2 (Evening) (tentative)*
Workshop Weekend: June 3 – 4 (All Day) (tentative)*
Changemaker Showcase: September Date TBD (Evening)*
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 keep your organization from participating?
Your answer
How did you hear about the Changemaker Series?
Your answer
Do you have any questions, concerns, or suggestions?
Your answer
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