returnLine

ALCHEMY+

If you attended one of the Leadership Seminar trainings held in the years of
      2006 and 2009, please complete the following application.

If you attended one of the Leadership Seminar trainings held in 2010, you are
      on the wrong page, please go here.


1. Leadership Seminar Class attended Please select an item.
 

2.  Please check each box in order to indicate that the Executive Director and Board Chair have successfully
     completed each of the eligibility requirements.

     Please make a selection. Either the current Executive Director or current Board Chair, is still with the same organization/nonprofit
          that they were a part of when they attended the Leadership Seminar indicated in Question #1.

      Please make a selection. We have submitted the Reflections Web-Form as a part of this application to Alchemy+
          (The Reflections Web-Form must be completed and submitted in order to apply to Alchemy+)

     Please make a selection. We commit to complete the Pre-Organizational Assessment by both the Executive Director and the Board Chair,
          prior to participation in Session 1 (Peer to Pier) of Alchemy+

     Please make a selection. We commit to familiarizing ourselves with the new Anthology toolkit, and reading the Participants Guide, which will be
          sent to us upon our acceptance into the program.
   
Please explain the reason for change in Leadership (200 character limit)
 Exceeded maximum number of characters.
   

3.  Please check all boxes below. By checking each box, the Executive Director and Board Chair are committing to
     participate fully in Alchemy+ components

     Please make a selection. Both the Board Chair and Executive Director of our organization will participate in each of the four Alchemy+
          half day sessions held every other month, from September 2010 – March 2011

     Please make a selection. We intend to take advantage of the additional resources, such as the use of the implementation guide and technical
          assistance grants to assist us in organizational growth

     Please make a selection. Our Board Chair and Executive Director commit to submitting the post–Organizational Assessment at the completion
          of their participation in Alchemy+

     Please make a selection. Our Board has approved our participation in Alchemy+.
   
4. Thinking back to the two-day Leadership Seminar, of the many topics covered, which would you like to explore
    more deeply in Alchemy+? (you may check as many boxes as are applicable)

                                Board Member Job Description
                                Board Committees
                                Individual Board Member Self – Evaluation
                                Board Meeting Effectiveness
                                Consent Agenda
                                Board Structure Matrix / Board Profile and Diversification
                                Board Expansion and Recruitment
                                Board Giving
                                Major Gifts
                                Developing a Case for Support (Elevator speech)
                                Solicitation strategies
 

For the section below we are asking you to indicate your preference in attending the four sessions.

Sessions 1 and 4 are large group activities. Sessions 2 and 3 will be divided into four cohorts of 25 members each.

We ask that you select your preference for either a Friday half-day or Saturday half-day for Sessions 2 and 3.

We cannot guarantee you will get your preferred option, but will work towards accommodating your selection.

 
Preference: Both the Executive Director & Board Chair prefer a session that falls on either:
  (Please check off one box)
Friday “half-day”, morning or afternoon for Sessions 2 & 3
Saturday “half-day”, morning or afternoon for Sessions 2 & 3


Please review ALL the potential session dates below. By checking this box you are confirming that you and your
      Board Chair are available for all potential session dates.
      
      We will try to assign you one based on your selected preference of day.
      This box must be checked in order to be eligible for the Alchemy+ Program.
   *Both the Executive Director and Board Chair must attend the same sessions together.
   
Session 1: Peer to Pier, an all day celebratory event for nonprofit practitioners
  Friday, September 24, 2010        Alchemy + Participants                       7:30 am – 4:30 pm
Friday, September 24, 2010        All other Pier to Peer Attendees         9:30 am – 4:30 pm
   
Session 2: Board Governance, a half-day deep dive into selected topics
  Class 1            Friday, November 12, 2010                  8:30 am – 12:30 pm
Class 2            Friday, November 12, 2010                  1:30 pm – 5:30 pm
Class 3            Saturday, November 13, 2010              8:30 am – 12:30 pm
Class 4            Saturday, November 13, 2010              1:30 pm – 5:30 pm
   
Session 3: Fundraising & Major Gifts, an intimate half-day working session
  Class 1            Friday, January 21, 2011                      8:30 am – 12:00 pm
Class 2            Friday, January 21, 2011                      1:00 pm – 5:30 pm
Class 3            Saturday, January 22, 2011                  8:30 am – 12:00 pm
Class 4            Saturday, January 22, 2011                  1:00 pm – 5:30 pm
   
Session 4: Replacing the Ordinary with Extraordinary & Culmination Celebration
  Class 1            Friday, March 18, 2011                         9:00 am – 2 pm
Class 2            Friday, March 18, 2011                         9:00 am – 2 pm
Class 3            Friday, March 25, 2011                         9:00 am – 2 pm
Class 4            Friday, March 25, 2011                         9:00 am – 2 pm
   
If you have information you would like to share, please provide in the comments box below (200 character limit)
 Exceeded maximum number of characters.
   

Please provide your organization’s contact information:
   
Organization Name: A value is required.
EIN #: A value is required.9 numbersThe entered value is less than the minimum required.The entered value is greater than the maximum allowed.Please enter 9 numbers without spaces or characters.Exceeded maximum number of characters.
Address: A value is required.
Phone: A value is required.Invalid format. (555) 123-5678
Website:
   
Executive Director: A value is required.
Email Address: A value is required.abc@yourdomain.com
   
Board Chair for 2010 – 2011: A value is required.
Email Address: A value is required.Invalid format.
Phone: A value is required.Invalid format. (555) 123-5678
   
  security code
Enter Security Code:
 
   

Thank you for applying to Alchemy+. Once we have verified that your organization has met the required criteria, you will receive a confirmation email and phone call from a member of our team to notify you of your acceptance and assigned class dates.

Final selection will take place at the end of June and we will alert all selected organizations by the mid July.