Application Form
Transformative Reconciliation in Community Social Services
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Thank you for your interest in the Transformative Reconciliation in Community Social Services Program. We invite applications to be submitted until November 13, 2020. All applicants will be contacted by November 27, 2020 regarding the status of their application.
Name of organization *
Name of contact person *
i.e., the person filling out this application
Phone *
Email *
Region *
e.g., Fraser, North, Vancouver Island, Vancouver Coastal, Interior
Is this organization a Federation member? *
See a full membership list here: https://fcssbc.ca/about/our-members/
We would like to request bursary funding to help cover program costs. (Only available to Federation member organizations whose budget is under $10 million.)
Clear selection
ATTENDEE INFORMATION
This section is about the 2 individuals who will represent the organization in this program. Who are the two people who will be invited to participate on behalf of the organization? Think about who you will ask to attend and why you think they are the right person. Before the program begins, they will also be asked to complete a questionnaire so we can learn a bit more about them.
PARTICIPANT ONE
Name *
Role in the organization *
How will they have the space in their role to take up this work? *
Email *
Phone *
How long has this person been with the organization? *
How long do you anticipate them being with the organization? *
Why have you identified this person as a participant? *
Think about their role, their attitude toward reconciliation work, how they show up in their work, how their colleagues respond to them.
PARTICIPANT TWO
Name *
Role in the organization *
How will they have the space in their role to take up this work? *
Email *
Phone *
How long has this person been with the organization? *
How long do you anticipate them being with the organization? *
Why have you identified this person as a participant? *
Think about their role, their attitude toward reconciliation work, how they show up in their work, how their colleagues respond to them.
ORGANIZATIONAL INFORMATION
This section will help give us a sense of your organization, the work you have done thus far to live into reconciliation, and how you do your work in community in general. This information will help us tailor the program to your needs so please be specific and share as much detail as you can!
Please share your organization’s statement of reconciliation/statement of diversity. *
It's ok if you don’t have one! If you don’t, just tell us a bit about what work you have done to incorporate reconciliation into your strategic plan, work plans, etc.
What activities has your organization undertaken already regarding reconciliation? *
What relationships with Indigenous organizations do you have already in existence? Tell us a bit about how those came to be and what impact they have. (It’s ok if you don’t have any!) *
What other organizations are you formally partnering or actively engaged with currently? *
Why is it important for your organization to undertake reconciliation work now? *
What do you hope to get out of this program? *
How ready is your organization for transformation? *
Not at all ready
Completely ready
What determined your "readiness" selection above? How did you come to this answer? *
Do you anticipate any challenges or changes over the next 12 months that would impede your organization’s to participate fully in the program as described? *
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