SEG Advisor Application
Thank you for your interest in becoming a Social Enterprise Greenhouse advisor. Please complete the form below so we can best match your skills to needs in the social enterprise ecosystem. Email
info@segreenhouse.org
with any questions.
Para completar este formulario en español,
haga clic aquí.
First Name:
Last Name:
What are your pronouns?
He, Him, His
She, Her, Hers
They, Them, Theirs
My pronouns are not listed above.
We ask this question as we want to make sure we are addressing everyone in our network correctly.
My pronouns are:
Job Title:
(Please answer N/A if not applicable)
Email:
Phone Number:
Mailing Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
To which ethnic/racial group(s) do you most identify?
Asian
Black or African American
Hispanic or Latino/a/x
Indigenous Peoples, First Nations, Native American, or Alaska Native
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White or Caucasian
Prefer not to say
My ethnic/racial group is not listed above
My ethnic/racial group is:
What languages are you comfortable communicating in?
Creole
English
French
Portuguese
Spanish
Other:
Language:
To which gender group(s) do you most identify?
Female
Male
Nonbinary
Prefer not to say
My gender group is not listed above.
My gender group is:
Please select an option to upload your resume or write a brief bio below:
Upload resume
Write brief bio
Please upload your resume:
Please write a brief bio:
Please provide the link to your LinkedIn page:
Please provide contact information for two references
Reference 1:
Name
Relationship:
Email Address:
Reference #2
Name
Relationship
Email Address
SEG will contact your references within a few days of receiving your application. Would you like SEG to notify you beforehand?
Yes
No
Please select the topics in which you have functional expertise.
Accounting and Finance
Board Development
Business Model/Plan Development
Digital Marketing/Social Media
Distribution
Fair Trade
Hospitality
Human Resources
Leadership and Management
Legal
Manufacturing
Marketing
Metrics and Impact Measurement
Nonprofit
Operations
Policy
Resource Development/Fundraising
Sales
Social Enterprise Metrics
Supply Chain/Distribution
Technology
Web Strategy/Development
Other:
Functional Expertise Other:
Please list how many years of experience you have in each topic you selected above:
Please select the industries/sectors you have expertise in.
Arts, Culture, and Entertainment | Art programs, cultural preservation, and music
Civic Engagement | Legal services, housing and income security, and veteran support
Environment | Land, water, and energy
Food and Nutrition | Farming and food security
Health | Community health and healing
Makers & Marketplace | Artisans, suppliers, and commerce
Workforce Development | Support for equitable wages, training, and professional development
Youth & Education | Youth groups and support for education reform
Other:
Industry/Sector Expertise Other
What is your coaching style?
Considerate (empathetic, encouraging)
Direct (blunt, take charge)
Spirited (inspiring, creative)
Systematic (careful planning, logical)
Other:
Coaching style other:
What venture stage would you like to volunteer with?
Ideation
Start-up
Established
All of the above
What venture legal structure would you like to volunteer with?
Benefit Corporation
Co-op
For profit
Hybrid
L3C
Nonprofit
Not yet incorporated
All of the above
Please indicate the geographic location of ventures you'd like to volunteer with:
Rhode Island
New England
National
International
All of the above
What is your preferred method of communication?
Audiovisual (Facetime, Google Hangout, Skype, Zoom)
Email
In person
Phone call
Texting
What Volunteer role do you prefer? Please check all that apply:
Accelerator Coach
: 1 -2 hours weekly commitment over 12 weeks to work one on one with an entrepreneur as they participate in SEG's Accelerator program.
Advisor
: one on one session with an entrepreneur about a specific topic (1 - 2 hours as requested by entrepreneurs
Huddle
: two hour session with an entrepreneur and a team of volunteers to assist entrepreneurs looking to pivot their business.
Instructor
: lead/teach a module as part of SEG's Incubator or Accelerator program (e.g. 2 -3 hour workshop on Value Propositions, Marketing, etc.)
Do you feel you have any specialties that are not fully expressed or anything else you'd like us to know about matching you with an entrepreneur or engaging with Social Enterprise Greenhouse?
Policies and Terms
: None of the parties involved in the use, implementation or operation of Social Enterprise Greenhouse (SEG) programs or websites or their agents and representatives shall have any liability arising from or relating to use of or participation within SEG programs. Your use of the SEG programs or related websites constitute a waiver of any claims against SEG or their agents or representatives. During a party's participation in an SEG program, Social Entrepreneur Participants, volunteers and other parties may voluntarily exchange information about products, services, customers, partners, and business plans that is to be held confidential and not to be used or communicated by the other party without prior consent by the party originating the confidential information. Notwithstanding the foregoing, neither SEG or their agents or representatives shall be liable to any party or for any damages without limitation for any disclosure or release of information delivered or released in the ordinary course of business of such parties unless such parties have entered into a separate confidentiality agreement related to such information.
By checking this box and submitting this form, I agree to these Policies and Terms.
I Agree
Contact Information