What’s Next: Leading a Thriving Transition Interest Form

Please fill out and submit this form. Once you submit the form, you will be asked to schedule a 15 to 20 minute phone call with a member of our team. Your inquiry into the program and your participation in the program will be CONFIDENTIAL.

First Name

Last Name

Phone

City

County

State

Zip

Organization

Sector focus of the Organization

Organizational Budget Size

How many years have you been in an executive director role?

Which of the cohorts are you interested in attending? Note that attendance is required at both retreats.

What’s Next Southern California, September 11-12 and November 29-30, 2017 - Holy Spirit Retreat Center, Encino, CA What’s Next New England, October 5-6 and December 12-13, 2017 - Warren Conference Center, Ashland, MA

Which of these foundations that are sponsoring What's Next in California, if any, has the organization received funding from (current or past). Your inquiry and participation will not be shared with any of the foundation sponsors.

The David and Lucille Packard FoundationThe Durfee FoundationThe Hewlett FoundationThe Hewlett Foundation’s Performing Arts ProgramWalter & Elise Haas FundThe Blue Cross Blue Shield Foundation of MassachusettsThe organization does not/has not received funding from any of these foundations

Providing the information below is optional

Race

Gender

TSNE MissionWorks strives to engage cohorts of What's Next participants that reflect the range of diversity in our sector, including organizational size and sector focus, participant experience and perspective, and populations served. Each cohort has 18 available slots.

Thank you for your interest in What’s Next: Leading a Thriving Transition – we look forward to connecting with you!

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