2024-2025 RE-AMP Executive Director Peer Learning Circle
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First Name
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Last Name
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Email *
Title *
Organization *
Time in current position
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What is your organizational budget? *
What is your staff size?
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Participants in the 2024-2025 RE-AMP Executive Director’s Peer Learning Circle may be asked to serve as peer mentors for future cohorts.  Are you willing to serve in this role?  
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If answering "I don't know/ maybe" above, please explain what might prevent you from serving as a peer mentor.
The program consists of a monthly call with the full cohort, check in calls (1-2 times per month) with your peer mentor, meetings with an executive coach, and an in-person retreat tentative date: May 15-17, 2024 (location to be determined).  Are you able to participate in the full program?  
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RE-AMP defines a BIPOC led organization as one that is run by, serving, and building power in communities of black, indigenous, and/or people of color – with a majority black, indigenous, people of color board and executive staff. Is your organization BIPOC led?
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Why do you want to participate in the 2024-2025 RE-AMP Executive Director’s Peer Learning Circle? *
Is there anything else you’d like us to know?
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