JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Partners in Reciprocity (PiR) INDIVIDUAL Application
How to Apply:
- Applications are due on December 10th
- There are two parts to the application - a team portion and an individual portion. This is the individual portion.
- Teams will be notified by December 18th of their acceptance
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name:
*
First and last name
Your answer
Email address
*
Your answer
What is your full mailing address?
Your answer
What is your social location?
*
Your answer
What Organizational team do you belong to:
*
Share the name of the organization only. Do not list your fellow teammates.
Your answer
What is your role at the organization?
*
Your answer
What does reciprocity mean to you?
*
Your answer
What strengths do you bring to your team?
*
Your answer
Why do you want to participate in PiR?
*
Your answer
What are you hoping to learn?
*
Your answer
How do you take care of yourself? Do you have allies within your organization who you can trust and talk to about what emerges through this work?
*
Your answer
Do you have any accessibility needs we should be aware of?
This question encompasses helping enable your participation on virtual platforms as well as in person.
Your answer
*OPTIONAL* Please share relevant links related to your application (videos, social media accounts, articles etc.)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Circle on Philanthropy.
Report Abuse
Forms