Program Application

Transcription

1 Executive Leadership & Coaching Program Program Application OVERVIEW National Urban Fellows is proud to announce the launch of the Executive Leadership & Coaching (ELC) Program. Developed in partnership with the American Express Foundation, the ELC supports NUF Alumni and partners pursuing executive level positions in public service. PROGRAM DESCRIPTION The ELC program is a high impact, individualized leadership program focused on executive coaching, networking, and career advancement. This year s cohort of diverse professional from across the country will each receive the specialized training and ongoing support needed to position them for success in senior leadership roles. APPLICANT CRITERIA Mid management to senior leadership experience within the public sector. Applicants should also have a demonstrated commitment to public service leadership, experience managing a department or initiative, making strategic decisions, and aspirations for a position of higher leadership authority in 3 5 years. APPLICANT COMMITMENT Each applicant must commit to full participation in all program elements including: Completing a 360 leadership assessment which requires feedback from your professional network. Attending all forums from start to finish (9:00am 6:00pm), webinars, executive coaching sessions and other time needed (approx. 10 hours / month). Willingness to co invest in your leadership development: Program Fee* and travel costs to NYC.

2 Program Description The Executive Leadership and Coaching (ELC) program is a high impact, individualized leadership program focused on executive coaching, networking, and career advancement. Program components include a 360 assessment tool, inperson live forums, monthly webinars, networking opportunities, executive coaching, as well as the development of an Individual Leadership Development Plan. Participants also become well versed in National Urban Fellows Inclusive Leadership Model the practice of leadership that carefully includes the contributions of all stakeholders in the community or organization.

3 PERSONAL INFORMATION Name Date of Birth Home Address City State Zip Home Telephone Mobile MPA / ALOC Fellow Class (if applicable) Sponsoring Organization (if applicable) EMPLOYMENT INFORMATION Your Title Organization/Company Address City State Zip Telephone Fax Website When contacting you, which contact information do you prefer? personal business ORGANIZATION / COMPANY INFORMATION Employment Sector: Non profit: Small (<$1M Budget) Non profit: Mid size ($1M $5M Budget) Non profit: Large (>$5M) Organization Type: Direct Service Non profit Foundation Corporation Federal Government Agency State Government Agency Municipal Government Agency Elected Official Mission Area: Education Workforce Development Economic Opportunity Environment Health Hunger and Nutrition Other (Please list): Functional Roles: Supervise others Manage Budget Work with Board of Directors (check all that apply) Manage Department / Business Unit Other (Please list):

4 ADDITIONAL DEMOGRAPHIC INFORMATION (OPTIONAL) Race / Ethnicity: American Indian Alaskan Native Asian or Pacific Islander Black / African American (not of Hispanic origin) Other: Hispanic / Latino / Latina Caucasian / White (not of Hispanic origin) LEADERSHIP EXPERIENCE AND GOALS Please describe the aspects of your professional development that brought you to this point in your life. Provide a description of your goals for obtaining an executive level position in the non profit sector and how this opportunity will advance these goals and your leadership skills. Please submit response in the box below. By checking the boxes below and submitting this application, I am indicating my commitment to fully participate in the following program and evaluation activities: APPLICANT S STATEMENT OF COMMITMENT Attend Forum 1 (2 days) and two additional 1 day Forums in New York City. Participate in web based seminars (may occur during business hours). Complete the 360 pre assessment (by June 30) and 360 post assessment (by Jan 30), which include a self assessment, a minimum of 15 observer assessments, and an executive feedback session to discuss results. Complete an Individual Leadership Development Plan (ILDP). Participate in 100% of program evaluation activities, opinion surveys and/or focus groups. Support National Urban Fellows and its mission through continued engagement and/or monetary support.

5 COMMITMENT TO CO-INVESTING I understand that If accepted, I will be required to contribute a co investment of $1,000 (NUF Alumni) or $1,250 (Members of Partner Organizations). I understand that it is my responsibility for travel, transportation and other incidental costs associated with my participation in live forums (held in New York City). NUF will provide meals (breakfast and lunch) during in person forums. AFFIRMATION AND SIGNATURE I certify that all information submitted in this application, including the application cover sheet, Leadership Experience & Goals Essay, and resume is updated and complete. I understand that I will be required to make a co investment, paid for by myself or my employer Applicant name: Date: SUBMITTING YOUR APPLICATION Please submit your completed application and an updated resume in pdf format via to National Urban Fellows by October 16, 2015, attention MIguel A. Garcia Jr. at mgarcia@nuf.org.