Joyful Impact Cohort 5 Application
This application is comprised of three sections and should take 20-30 minutes to complete. 
Sign in to Google to save your progress. Learn more
Email *
Name *
Title *
Organization *
Where do you live? (City, State) *
Preferred Pronouns *
Preferred Name *
How do you like to be addressed?
How did you hear about the Joyful Impact Accelerator? *
Required
If you were referred by an alum of the program, please capture their name below. 
Tell us about your work, including your current role. Why did you get into this work, or why is it important to you? *
What draws you to the Joyful Impact Accelerator? How do you envision this fueling your work as a change agent? Are you facing any particular inflection point that makes this program feel particularly relevant right now? *
If you do participate in the program, what do you hope will be true by the end (a year from now)? Are there any changes you’d hope to see within yourself based on this program?  *
When in the past few years have you adopted a new mindset, approach, or habit in your personal or professional life? What inspired this change? How did you sustain the change? What impact has it had on you? *
What have been the most impactful aspects of any cohort-based learning experience(s) you’ve participated in to date? What did you do to get the most out of those experiences?
*
How will you make time and space in your life to engage fully in the Joyful Impact Accelerator experience?
*
Participants can expect 1-2 hours of programming weekly in addition to 2 two-day in-person retreats. Please visit our website to find the program details and estimated time commitment (under "Is This a Fit For You?").
How can you contribute to your colleagues’ experiences as a member of the Joyful Impact community?
 *
Please note that the program is fully funded, but your organization will need to cover the cost of travel to and from the two in-person convenings (programming, hotel stay, and meals during those convenings will be covered by Joyful Impact). Please leave a note below if this is a concern or barrier to your participation in the program. 
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Building Impact. Report Abuse
Google Forms