ELP 2023 Application Profile Form (for testing)

Application Profile Form
Name*
First Last
Organization*
Current Job Title*
Focus Area*
Where your organization/agency serves within the social sector.
How long have you been employed in the nonprofit/social sector?*
Number of employees in your organization*
Work Address*
Street Address City State ZIP Code
Home Address*
Street Address City State ZIP Code
Preferred Address Type*
Work Email*
Personal Email
Preferred Email Type*
Phone (work)*
Phone (cell)*
Preferred Phone*
Race/Ethnicity - Check all that apply*
- American Indian / Alaska Native
- Asian
- Caucasian / White
- Black / African American
- Hispanic / Latina/o/x
- Middle Eastern / North African
- Native Hawaiian / Pacific Islander
- Other
Age*
Your gender*
Preferred Pronouns
Any other identities you wish to share?
Sponsoring Manager Name*
First Last
Sponsoring Manager is a Board Chair, Executive Director or Supervising Manager who acknowledges their full support of applicant to fulfill the stated program commitments.
Sponsoring Manager Email*
How did you learn about ELP?*
If you heard about ELP from a friend/colleague, please share the individual's name below.