Non-Profit Leadership Certificate Program

Name(Required)

First Last

Email(Required)

Phone(Required)

Birthday(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions

Are you Hispanic or Latino?

Yes

Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member:

American India or Alaska Native

Asian

Black or African America

Native Hawaiian or Other Pacific Islander

White

Organization:

Non-Profit Organization Type (Please check all that apply.):

Organization Address:

Job Title:

County of Residence:

County of Employment:

Name of Approving Manager (Supervisor, Board Chair, etc.):

How did you hear about The University of Scranton Nonprofit Leadership Certificate Program?

What is the highest level of education you have attained?

What is your organization's mission? (1-2 sentences)

SECTION 1. Organization & Professional Background

How long have you been with this organization?

How long have you been in your current position?

What is your organization's current staff size?

How many employees do you supervise/oversee?

What is your organization’s current annual operating budget?

Does your organization have a formal succession plan?

Yes

Have you ever participated in a cohort-based professional development program before?

Yes

Have you ever worked with a professional/leadership coach in the past?

Yes

Please include a short personal bio (650 characters):

Through the support of the University of Scranton and other generous community partners, scholarships and tuition assistance are available for most students.

Do you anticipate needing a scholarship (if available) to help with the cost of the program tuition?

Yes

If yes, please give a brief statement of need for a scholarship (650 characters):

SECTION 2. Program Participation and Goals

Why are you interested in the Nonprofit Leadership Certificate Program? What would "success" in the Program look like to you? (1500 characters).

What is one personal leadership goal you would like to tackle during this program (i.e. What will be different about you for having completed this program)? (1500 characters max). Many personal goals will focus on new behaviors or practices that will encourage success.

Examples include:

Further developing a key leadership skill (i.e. confidence, change management, public speaking/communication skills, problem solving, consensus building, motivating staff, managerial proficiencies, using a coach, reflection/journaling, etc.)
Crafting a professional develop plan

What is one personal leadership goal you would like to tackle during this program (i.e. What will be different about you for having completed this program)? (250 words max). Many personal goals will focus on new behaviors or practices that will encourage success. Examples include:

Describe 3 potential organizational challenge/capstone projects facing the organization over the next year that you could undertake as part of this program. (1500 characters)

Example projects include**:

Launching a new program or service
Re-evaluation of organizational mission and vision
Conducting a formal evaluation of an existing program or service
Formal market analysis/needs assessment of existing sector services/providers
Nurturing a culture of Board Member Engagement and leadership
Exploring social enterprises that correlate to your organizations mission
Development of formal fundraising plan
Rebranding of the organization (name, logo, website)
Development of a strategic plan or launching a strategic planning process
Improving internal organizational culture from reactive to proactive
Improving organizational transparency
Tackling the topic of Race, Equity, Diversity & Inclusion
Improving employee morale, retention and purpose
Improving programmatic or organizational efficiencies

Describe 3 potential organizational challenge/capstone projects facing the organization over the next year that you could undertake as part of this program. (1500 characters)

FOR ONE of the potential organizational challenge/capstone projects above: Please answer each of the following questions in 100 words or less (650 characters):

How does this challenge relate to the core mission or work of the organization?

Describe how you see your role in the current situation--how you played a role in the current situation coming to be as well as the role you would need to play to successfully tackle this challenge?

What are the risks inherent in taking on this challenge for your organization and your constituency?

Whose engagement and support will you need to succeed?

Share anything else you would like the Nonprofit Leadership Certificate Program team to know about you. This can include awards or recognition, additional examples of your engagement and leadership, or any other elements not captured in your previous responses.

SECTION 3. Mentor Assignment

Are you interested in having a mentor assigned to you through this program? The assignment of a mentor is designed to connect participants with a leader as a guide and career advisor, outside of the program.

Yes

If you were connected with a mentor through this program, what topics are you most interested in discussing with them (check all that apply)?

Relationship Management / Networking

Fundraising / Development

Executive Leadership Skills

Communication / Marketing / Telling the Story

Financial Management Topics

Nonprofit Governance and Management

Leading a Staff/Team

Career Progression

Other

If "Other", please specify...

If yes, please describe in 1-2 sentences what type of relationship would be most helpful to you. (650 characters)

For example, are you looking for someone with a specific technical skill they can share, someone to help expand your network, or just someone to be an independent sounding board for your goals/challenges?)

If yes, please describe in 1-2 sentences what type of relationship would be most helpful to you.

SECTION 4. Additional Documents

Upload Documents

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Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB, Max. files: 5.

Submit supporting documents (resumé and letters of recommendation, etc.) using the upload button.

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Non-Profit Leadership Certificate Program Application

Application Form

SECTION 1. Organization & Professional Background

SECTION 2. Program Participation and Goals

SECTION 3. Mentor Assignment

SECTION 4. Additional Documents