CenterPoint Emerging Leaders Application

Thank you for your interest in the 5th cohort of the CenterPoint Emerging Leaders Institute for Nonprofit Professionals. Please have all of your documents and information ready to upload to complete your application prior to beginning your application.

Qualifications: This program is specifically for mid-level managers who have been in their position with their organization for at least one year. This program is not appropriate for senior level or founding CEO/ED roles. Candidates should be employed with a nonprofit organization in the health and human service sector within Harris, Fort Bend, Waller, or Montgomery County. Applicants who do not meet these requirements will not be considered.

Documents required:
- Narrative Statement
- Updated resume
- CEO/Executive Director letter of reference

1. Contact Information *This question is required.

First Name

Last Name

Business Email Address

Personal Email Address

Home Address

City

State

Zip

Cell Phone

2. LinkedIn Profile link (optional)

3. Demographics *This question is required.

Gender
Race/Ethnicity

4. Nonprofit Agency *This question is required.

Present Employer
Number of Years Employed
Job Title
Agency Address
City
State
Zip
Business Phone
Years in Current Position

5. Education Background *This question is required.

Undergraduate Degree/Field of Study
College/University
Year Received
Advanced Degree(s)/Field of Study
College/University
Year Received
Professional Certifications

6. Military Service

7. Skills & Experience *This question is required.

Space Cell	No Experience	Moderate Experience	Considerable Experience
Staff Leadership	Staff Leadership : No Experience	Staff Leadership : Moderate Experience	Staff Leadership : Considerable Experience
Marketing/Communications	Marketing/Communications: No Experience	Marketing/Communications: Moderate Experience	Marketing/Communications: Considerable Experience
Public Speaking	Public Speaking : No Experience	Public Speaking : Moderate Experience	Public Speaking : Considerable Experience
Fundraising	Fundraising : No Experience	Fundraising : Moderate Experience	Fundraising : Considerable Experience
Diversity, Equity and Inclusion Principles	Diversity, Equity and Inclusion Principles : No Experience	Diversity, Equity and Inclusion Principles : Moderate Experience	Diversity, Equity and Inclusion Principles : Considerable Experience
Staff/Team Management	Staff/Team Management: No Experience	Staff/Team Management: Moderate Experience	Staff/Team Management: Considerable Experience
Fiscal Management	Fiscal Management: No Experience	Fiscal Management: Moderate Experience	Fiscal Management: Considerable Experience
Strategic Planning	Strategic Planning: No Experience	Strategic Planning: Moderate Experience	Strategic Planning: Considerable Experience
Program Management	Program Management: No Experience	Program Management: Moderate Experience	Program Management: Considerable Experience
Volunteer Leadership	Volunteer Leadership : No Experience	Volunteer Leadership : Moderate Experience	Volunteer Leadership : Considerable Experience
Organizational/Culture Change	Organizational/Culture Change: No Experience	Organizational/Culture Change: Moderate Experience	Organizational/Culture Change: Considerable Experience
Mobilizing Community	Mobilizing Community : No Experience	Mobilizing Community : Moderate Experience	Mobilizing Community : Considerable Experience

8. Supervisor's Name *This question is required.

9. Your Supervisor's Email *This question is required.

10. Your Supervisor's Phone # *This question is required.

11. Please list any community based networks/organizations in which you belong (outside of your employer) and any significant volunteer experiences you've been a part of in the last 5 years.

Organization
Activity
Years of Service
Currently involved?
Organization
Activity
Years of Service
Currently Involved?

12. Statement of Commitment

I am prepared to make the time and service commitments required by the program.
*This question is required.

Space Cell	Yes	No
I will attend all mandatory sessions. I will participate fully in all aspects of the program, completing assignments in a timely manner, engaging actively in discussion, and sharing information with Institute members as appropriate. Should my role/job change during or after the Institute , I will notify ELI staff.	I will attend all mandatory sessions. I will participate fully in all aspects of the program, completing assignments in a timely manner, engaging actively in discussion, and sharing information with Institute members as appropriate. Should my role/job change during or after the Institute , I will notify ELI staff. : Yes	I will attend all mandatory sessions. I will participate fully in all aspects of the program, completing assignments in a timely manner, engaging actively in discussion, and sharing information with Institute members as appropriate. Should my role/job change during or after the Institute , I will notify ELI staff. : No
I will maintain confidentiality of all information shared in the group, making it a safe place to discuss personal and professional issues.	I will maintain confidentiality of all information shared in the group, making it a safe place to discuss personal and professional issues. : Yes	I will maintain confidentiality of all information shared in the group, making it a safe place to discuss personal and professional issues. : No
I understand that graduation is contingent on my active involvement in the program.	I understand that graduation is contingent on my active involvement in the program. : Yes	I understand that graduation is contingent on my active involvement in the program. : No

13. Please upload your resume
*This question is required.

File: {{filename}} delete

14. Please upload your CEO/Executive Director nomination letter endorsing your participation in the program

*This question is required.

File: {{filename}} delete

15. In a separate document, please write and upload a one page narrative ( 250 words or less, PDF) conveying why you should be selected for the CenterPoint Emerging Leaders program. Your narrative should address the following:

Why you're interested in the program and why now
Your short-term (12-18 months) career objectives and how this opportunity will support your career objectives
Your top 3 career/community leadership achievements to date
How you believe this opportunity will support your long-term career objectives
Where is your greatest opportunity for growth as a leader?
What you are personally prepared to do to be successful and committed to this program?

*This question is required.

File: {{filename}} delete

By submitting your application, you are agreeing to the foregoing Statement of Commitment.

CenterPoint Emerging Leaders Application - Cohort 5

CenterPoint Emerging Leaders Institute Application