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Leaders Lab: Application

About You

WELCOME!

Thank you so much for choosing to apply for The Lupton Center's Leaders Lab! We look forward to getting to know you. Applications are due by April 16th. We will let you know by April 23rd.

First, please tell us about yourself!

1. Full Name:

2. Email Address This question requires a valid email address.

3. Age:

4. Race:

5. Gender:

Now tell us about your organization.
Whether you are small and young or large and established, we just want to know more about you and your context. We value a diverse group of organizations and leaders in our Lab.

6. Organization you will represent in the Lab:

7. Organization's website?

8. What is your role in this organization?

9. How long have you been with this organization?

10. What is the mission statement of your organization?

11. Briefly describe what your organization does on a daily basis and why.

12. In what town/city is your org located? Briefly describe this community.

13. How would you define poverty in your context?

14. How many paid staff members does this organization have?

15. How many volunteers on average does this organization utilize on a monthly basis?

16. How many people does this organization serve on average each month?

17. What is the annual budget for this organization?

18. Who comes to your organization for support/help and why?

The Leaders Lab: Now just a few questions about why you would like to join the Leaders Lab.

19. The Lab requires each leader to bring one - and only one - program, project, or initiative to the table to be diagnosed, discussed, adapted, and changed. What is the one project you would like to bring to the Lab?

20. What about this project needs to be changed?

21. What is the main reason why the current version of this project is not working?

22. What about your leadership will need to be addressed so that the project can successfully undergo change?

23. What other efforts for change has this project faced? Why did these efforts not work or why were they incomplete?

24. How many hours per week for the next three months are realistically able to set aside in your schedule to invest in the work of the Lab?

25. The Lab will be a success for me if...

26. I should be chosen as one of the 10 participants in the Lab because...