Application for Cohort Instruction

Application for Cohort Instruction

APPLICANT

Please provide the following information:
Location:
(If your location state is not listed in the drop-down field above, please select “Other” from the list)
(If your county is not listed in the drop-down field above, please select “Other” from the list)

State & County (Other):

The following State (Other) and County (Other) fields only apply if you selected “Other” in the State (ARC Region) drop-down above.

(Please select your state in the drop-down field above)
(Please type your location county)

ORGANIZATIONAL & FINANCIAL INFORMATION

Please share some information about your organization so we may better understand the current situation and the impact COVID-19 has had. This information will only be used to evaluate your participation in the Appalachia Nonprofit Resource Center technical assistance program.

Q2: The Appalachian Regional Commission’s strategic plan includes five goals:

  1. Invest in entrepreneurial and business development strategies that strengthen Appalachia’s economy;
  2. Increase the education, knowledge, skills, and health of residents to work and succeed in Appalachia;
  3. Invest in critical infrastructure, especially broadband; transportation, including the Appalachian Development Highway System; and water/wastewater systems;
  4. Strengthen Appalachia’s community and economic development potential by leveraging the Region’s natural and cultural heritage assets; and
  5. Build the capacity and skills of current and next-generation leaders and organizations to innovate, collaborate, and advance community and economic development.

(Check One)
Q4: Are you a unit or chapter of a larger organization? *
Q5: Please complete the following information (number fill).
(If you don’t have any Full-Time Employees, please enter “0”)
(If you didn’t have any Full-Time Employees, please enter “0”)
(If you don’t have any Part-Time Employees, please enter “0”)
(If you didn’t’ have any Part-Time Employees, please enter “0”)
Q6: What fiscal year cycle does your organization currently operate on? *
(Check One)
Q7: To better understand your financial situation, please provide your Operational Budget for the current and last year:
$
(Example: 100,000; don’t enter $ sign)
$
(Example: 90,000; don’t enter $ sign)
$
(Example 100,000; don’t enter $ sign)
$
(Example 90,000; don’t enter $ sign)
Submit Current Balance Sheet (if available)
Maximum upload size: 5MB
(Any type document can be uploaded up to 5mb; – If your upload is successful, you will see a blue bar)
Q8: Do you have restricted reserves? *
(e.g. Endowment, etc.)
$
(Example 50,000; don’t add $ sign)
Q9: Have you received CARES Act funding (either directly or via a third party)? *
$
(Example 10,000; don’t add $ sign)
(300 words maximum)
Q11: What are the three most pressing concerns for your organization’s survival during this pandemic (what keeps you up at night)?
(300 words maximum)

COHORT INSTRUCTION

Instruction will be provied to cohorts (three-four organizations – aligned by geography, size and/or sector – participating in the same topic area at the same time).

Q12: Organizations have the option of submitting applications as a proposed cohort (3-4 organizations in a geographic area or similar sector).

Are you applying as a proposed cohort? (Note: Applicants will not be penalized for selecting No). *
If yes, please list the names of the other organizations in your proposed Cohort:
(Note: Each organization must submit its own application. Organizations will be evaluated individually,)
Q13. The applicant’s Executive Director or CEO is expected to be part of the nonprofit organizational team. Will your Executive Director or CEO participate in the program? *
Q14. If selected, please indicate your top two choices using the #1 Choice and #2 Choice fields below.
*** Note: A cohort or organization may participate in only one course. ***
#1 Choice *
#2 Choice *
Q15. Select your desired course schedule using the Desired Course Schedule #1 and Desired Course Schedule #2 fields below.

APPLICATION SUBMITTED BY:

First
Last
Check the box below to confirm the organization’s Executive Director/CEO has approved this application for submission. *

Thank You!

Thank you for applying to participate in the Appalachia Nonprofit Resource Center’s technical assistance program. Please inform your ARC State Program Manager when you apply for this initiative. You will be notified if there are any questions about your application or we require additional information. Successful applicants will be notified the week of October 26.