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BIPOC #3 Board Leadership Training Program Registration Form for Class 3

Thank you for applying to the Diversity Coalition SLO County Black, Indigenous, & People of Color (BIPOC) Board Leadership Two-Day Training Program.

Class #3 Dates: Thursday, October 17 and Saturday, October 19, 2024.

Our program aims to provide training to BIPOC professionals to be a good, effective board leader and create a pipeline of board ready candidates; as well as to facilitate board matching and placement assistance for nonprofits recruiting to diversity their boards.

To complete the enrollment process, you will need:

  1. A resume in PDF file format
  2. A good quality headshot or preferred photo in JPEG or PNG image format
  3. Payment by credit card or check.

REGISTER HERE FOR CLASS #3!

Please complete this comprehensive application to attend.

If someone referred you, we would like to thank them!

Personal Information





Use PDF file format

Use JPEG or PNG image format


Contact Information


*

Demographic Information

DCSLO uses this information to better understand and serve our graduates.

Using the following options, please select how best you self-identify your ethnicity. (Our training is targeted to BIPOC professionals looking to serve on boards of nonprofits and government commissions.)

If you selected other above, please describe your primary ethnicity below (i.e., Asian-Black, Indigenous-Latino, Multi-Racial, etc.)

Overview of Program Focus, Interest, and Experience/Skills

The next sections are important. Your selections will help determine the type of board you have an interest in serving and what professional skills & experience you can bring to the board.

Program Focus is the overall goal or objective of the organization seeking a board member. For example, if you were to indicate Homelessness, you would match with organizations that are focused on Homelessness. You may select five (5).

Board Interest is what part of the board's activities align with your passion. Perhaps you have a desire to be part of the board's Finance Committee activities; here is where you would indicate your interest(s). You may select two (2).

Skills & Experience are what a board considers when looking to add a potential board member to its board. You may select five (5).

Program Focus

Types of boards that are of interest to you (no more than five)

Please select five

Board Interest

What are you interested in? (No more than two)

Please select two

Skills & Experience

Skills & experience you bring to as a member of a board (no more than five)

Please select five
Commitment Agreement

I wish to participate in the Black, Indigenous, and People of Color (BIPOC) Board Leadership Training Program. 

  • I understand that the current application, enrollment, and registration requirements must be met.
  • I understand that the fees are due at the time of enrollment and are subject to change.
  • I agree to complete all reading assignments before the start of the class.

Photograph & Video Release

By this registration, I hereby authorize the Diversity Coalition of SLO County (DCSLOC) to take videos and photographs of me, and I grant a perpetual license to use, copy, and distribute these images to prepare derivative works for all DCSLOC uses, including, but not limited to magazines, newsletters, webpages, advertisements, brochures and/or recruitment materials. Any copyrights arising from the aforementioned uses shall remain the property of DCSLOC. I understand that the images may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. I waive all rights I may have for any claims for payment in connection with any use of said images. My completed application indicates my approval of these usages and that I am 18 years of age or older.

Payment Information

Please select one:
DCSLOC Check Policy

All payments submitted by check are subjected to the following policy:

  1. We must have your full payment cleared 10 days prior to the start of the program.
  2. Please make check payable to: Diversity Coalition San Luis Obispo County
  3. Please mail check to:

Diversity Coalition San Luis Obispo County

P.O. Box 376

Arroyo Grande, CA 93421

Any questions or concerns? Contact us at Training@diversityslo.org