NEOCH's Radically Inclusive Community Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Tell us a bit about you and why you want to join NEOCH's Radically Inclusive Community! We're currently accepting applications until July 1. Our summer cohort will begin during the week of July 16, date/time TBD based on when most participants are available. We'll contact you by July 11 if you are selected to participate in this cohort. If you need support filling this out by phone or have any other access needs related to this form, please call 216-432-0540

Email *

What's your name? *

What's your phone number? *

What pronouns would you like us to use when describing you? *

she/her

he/him

they/them

Other:

Required

What days and times would work for you to join us for RIC sessions on a weekly basis?
Please check the boxes next to all of the times you're available:
*

Mondays 9AM-11AM EST

Mondays 11AM-1PM EST

Mondays 12PM-2PM EST

Tuesdays 10AM-12PM EST

Tuesdays 12PM-2PM EST

Wednesdays 1PM-3PM EST

Wednesdays 3PM-5PM EST

Sundays 5PM-7PM EST

Sundays 6PM-8PM

Required

How have you connected with NEOCH in the past? (Please check all that apply.) *

I've attended webinars

I've attended in-person education events

I follow NEOCH on social media

I've volunteered with NEOCH

I've attended a rally or protest organized by NEOCH

I've participated in Homeless Congress

I've written for or sold the Street Chronicle

I've attended NEOCH-toberfest or other fundraising events

I've joined NEOCH's Board of Directors

I've participated in Labra or other street outreach programs

I've interned with NEOCH

I've worked on NEOCH's staff

Other:

Required

Have you volunteered with other organizations? What were those experiences like? (2-3 sentences) *

Where do you live?

In the City of Cleveland

In Cuyahoga County, outside the City of Cleveland

In Lake, Geauga, or Lorain county

Other:

Clear selection

NEOCH is a secular organization, but we know many people come to anti-poverty work through their faith. What role (if any) has faith, religion, and/or spirituality played in your motivation to end homelessness? (2-3 sentences)

What are you hoping to learn or achieve through joining NEOCH's Radically Inclusive Community? (2-3 sentences)
*

What areas of NEOCH's work are you most interested in supporting and/or getting involved with? (2-3 sentences)
*

What do you think are the main causes of poverty and homelessness in our society? (1-2 paragraphs)
*

What's your relationship with housing insecurity?
(This can include personal experience with being housing insecure or unhoused, experience of family or loved ones with those things, volunteer or employed work in the service or non-profit sectors, etc.) (2-3 sentences)
*

Do you have any access needs, learning styles or disabilities you want us to know about, so we can do our best to make this program accessible to you?

Do you have reliable access to a computer, smart phone, tablet, or other device that can connect to Zoom? *

Yes

Other:

We have limited space available in this cohort, but hope to run this program again in the future. If you're not selected for the current cohort, would you like us to contact you for future cohorts? *

Yes

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms