CivicMatch is a new program that connects Black, Indigenous and racialized rising leaders in CivicAction's Emerging Leaders Network (ELN) to our region’s established leaders for virtual discussions to expand professional networks and open doors to leadership opportunities.

To participate in the program:

1. Fill out this form, ensuring you meet the eligibility criteria identified below. From there, you will be notified each time a new round of CivicMatch opens, with four rounds held in 2021.

2. The first round of CivicMatch is taking place between February 15 - March 12, 2021. These discussions are now fully booked. The next round will be taking place in May, 2021. After filling out this form, you will be added to the mailing list to receive information before the next round opens.

3. If you have any questions in the meantime, please contact leadership@civicaction.ca.

Ready to get involved? Sign-up below.

REGISTRATION

To register for the program, you must meet all of the below criteria. Please check each box to confirm. If you respond yes to all of the questions, please continue with the form below. If you do not, unfortunately you are not eligible at this time.

I identify as a Black, Indigenous and/or racialized rising leader.I live and/or work in the Greater Toronto and Hamilton Area (GTHA). I am a member of the Emerging Leaders Network (if not yet, you can sign-up here).I am looking to explore new leadership opportunities and connections.I am comfortable filling out a short program evaluation form after my CivicMatch discussion and 6 months after to share how CivicMatch impacted my leadership journey.

First Name

Last Name

Link to your LinkedIn profile

Are there any accommodations that will make this program more accessible to you? We try our best to meet all accessibility requests and will contact you if needed to discuss further.

TELL US ABOUT YOURSELF

The information requested will only be used for internal purposes and will not be publicly distributed or shared.

Sector you identify with (this could be the sector you work or volunteer in, or are studying to join)

Organization or group where you identify as a rising leader (this may be where you work or volunteer)

Title/role at that organization or group

City or regional municipality where you live

City or regional municipality where you work/volunteer/study

Which of the following best describe how you identify? - Hold CTRL to multi-select:

Voluntary Demographic - Hold CTRL to multi-select:

Gender

Contact Information