Boards and Commissions Leadership Institute 2023 Application
Thank you for your interest in the Boards and Commissions Leadership Institute (BCLI). Learn more about the program here: https://urbanhabitat.org/apply-bcli

Applications are due by Sunday, October 30, 11:59 pm. 

We look forward to learning about you and your work. We plan to invite candidates who we believe are a good fit for the program to interview at the beginning of November.
Sign in to Google to save your progress. Learn more
Tell Us About Yourself
1. First Name *
2. Last Name *
3. Home Address, including city and zip code *
4. Preferred Email (this is the email we will use to communicate with you, please make sure it's an email you check regularly).   *
5. Preferred Phone Number *
6. What is your gender identity? *
7. What is your race and/or ethnicity? *
8. What is your age range? *
9. Are you a person with a disability (apparent or non-apparent)?  *
9a.  If accepted into the BCLI, do you have any accessibility requirements that we should know about?
10. Which language(s) do you speak? *
11. In which city council district do you live? *
12. Who is your current city council representative? *
13 In which county district do you live? *
14. Who is your current county supervisor? *
15. Do you currently serve on a government commission (or similar body)? *
15a. If yes, please list the commission.
16. Share a bio up to 75 words about yourself (if you are chosen for the 2023 cohort this bio will be shared on the Urban Habitat website) *
About Your Commitment to Public Service
17. Urban Habitat requires BCLI fellows to apply to at least one of the commissions listed in the link below. Which commission(s) are you interested in applying to, and why? https://docs.google.com/spreadsheets/d/1byxdBWYvhHrHd90IyJ24DUo0wJYYC7tCS073RDdyyLo/edit?usp=sharing   

Note: We strongly recommend that you observe a meeting of the commission(s) you choose to determine your interest and the time commitment required to effectively serve on the commission(s) you are pursuing.
*
18. Have you ever advocated a board or commission to advance a policy campaign? *
18a. If yes, to the previous question, please describe the advocacy activities.
19. Have you ever pursued or held office? *
19a. If yes to the previous question, which office?
20. Are you interested in pursuing elected office? *
20a. If yes to the previous question, which office?
21. The goal of the BCLI is to get equity leaders placed on a commission or board. We are asking for a commitment to apply to a board or commission before the end of the 2023 BCLI training. *
22. Please confirm that you are able to attend all of the webinars and meetings for the BCLI training. In order to ensure that all graduates have a certain level of knowledge and skills to be an effective advocate commissioner once placed on a board or commission, we require that participants attend ALL of the webinars and meetings. To see a list of the meeting dates, go to the "Apply to the BCLI" webpage. Dates and times are listed on the right-hand bar. *
Why Are You Applying?
Tell us more about yourself, and your interest in serving on a commission by answering the following questions. You have a 200 word limit per question.
23. Who do you consider to be your community? Once placed on a commission, how do you plan to hold yourself accountable to that community? *
24. What is the change you envision for your community? How will serving on your commission of interest achieve that change? *
25. We talk a lot about the inside/outside strategy in BCLI. When you hear this term, what does it mean to you? *
26. Urban Habitat's policy focus includes transportation, housing, land use, and environmental justice. Please describe your experience or connection to these issues. *
27. What are your concerns about participating in the program and/or serving on a commission, if any? *
About Your Nominating Organization
What is your relationship with the nominating organization?
28. How would you categorize your nominating organization: (check all that apply) *
Required
Once you submit your application, you will receive a confirmation email with instructions for sending the attachments below. Your application will not be considered without these attachments. 

Attachments that should accompany your completed application.  
  • Nomination letter
  • Resume
  • Headshot
You may submit these documents to waragon@urbanhabitat.org. Please use the subject line "BCLI Application Attachments (include your name)"
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Urban Habitat. Report Abuse
Google Forms