United Horizons Board Training Program for individuals

This form is for individuals to apply to be part of the United Horizons Board Training program offered by United Way of Racine County. United Horizons is made possible by a grant from the Volunteer Generation Fund in partnership with AmeriCorps and Serve Wisconsin.

Notification of participation in United Horizons Board Training Program will be made via email on or before May 10, 2024.

For more information on the program or to find the link for the organization application, visit the United Horizons Board Training Program webpage.

Your information

Your name

Age

With which gender do you identify?

Pronouns

He/him/his

She/her/hers

They/them/theirs

Other (enter below)

Ethnicity

Your address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email address

Phone number

Employer(s), if currently not employed, put n/a

Job title, if currently not employed, put n/a

Application questions

Are you a member of any of these historically underrepresented communities?

People of color

People in the LGBTQIA+ community

People with lived experience in poverty

People in rural communities

Not a member of any of these communities

* Anyone can apply to join the program, but preference may be given to those from historically underrepresented communities.

How long have you lived or worked in Racine County?

How long do you anticipate being involved in the Racine County area?

1-5 years

5-10 years

10+ years

Will you be able to attend all of the session listed below?

Yes

No

Individual sessions will be held:

Tuesday, May 21,1 - 3 p.m.
Tuesday, June 4, 1 - 3 p.m.
Tuesday, June 18, 1 - 3 p.m.
Tuesday, July 16, 1 - 3 p.m.
Tuesday, July 23, 11 a.m. - 2 p.m. (lunch provided)
Graduation/matchmaking event, Tuesday, July 30, late afternoon to early evening.

Will you need documentation for your employer to participate in this program?

How did you learn about United Horizons Board Training Program

Employer

College or university

Community organization

Other (please explain)

List any current or prior board memberships. If you've never served on a board, type none.

Why are you interested in this board training program? What do you hope to learn or gain?

Is there anything you would like us to know regarding your potential participation in this program?

I understand that, as a participant, I will engage in a 60-day tracking period following the completion of the board training program.