with the support of Liberty Mutual Foundation

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 30-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

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Phone (please provide a number you can be reached for an interview to be scheduled following the submission of this form)

City

States

Zip

Organization

Sector focus of the Organization

Is your organization currently funded by Liberty Mutual?

YesNo

Organizational Budget Size

How many years have you been in an executive director/CEO/similar leadership role?

How many years have you been an executive director/CEO/similar leadership role at your current organization?

Are you looking to retire after your transition?

Yes

Briefly state why you are interested in the What's Next program (one paragraph)

Providing the information below is optional

Race

Please specify your racial identity:

Gender

We strive 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. Black, Indigenous, and people of color leaders are encouraged to apply. Each cohort has 18 available slots.

We respect your confidentiality and adhere to our privacy policy and terms of use. Your information will only be used to contact you about your interest in this program.

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

Contact Information