Public Allies Pittsburgh Placement Partner Application
Thank you for hosting an Ally for the 2019-2020 program year. We look forward to working with you to build your capacity and develop emerging leaders for the region. If you have questions about this form or the selection and matching process, please contact Naomi Tannenbaum at naomit@publicallies.org or 412-258-3021. Thank you.
Organization Name *
Your answer
Organization Website
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Primary Contact First Name *
Your answer
Primary Contact Last Name *
Your answer
Primary Contact Email *
Your answer
Primary Contact Phone *
Your answer
Are you a 501(c)3; government agency; or 501(c)4 or 501(c)6 that does not engage in lobbying activities as defined under the Lobbying Disclosure Act of 1995? *
Have you hosted an Ally before? *
Does your organization provide services that focus on any of the following areas? *
Check all that apply.
Required
How many Allies would you like to host
In what general area will your Ally(ies) provide capacity-building for your organization? (Choose all that apply) *
Required
Please give a 3 or 4 sentence description of the position the Ally(ies) will fill (Note: the positions should primarily focus on capacity-building, with limited administrative and direct service activities.) *
Your answer
What is your funding source for the Ally stipend? *
Your answer
Would you be interested in attending a meet and greet with candidates the evening of July 11th? (time and place TBD) *
Which Matching Fair (Ally interview day) will you attend? *
Required
Please add and comments or questions you have.
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