CivicMatch is a program that connects Indigenous, Black, and racialized rising leaders with established leaders from across the Greater Toronto Hamilton Area (GTHA). Through virtual discussions, CivicMatch works 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.

2. Note that CivicMatch rounds take place quarterly throughout 2022. Upon completing this form you will be added to the CivicMatch mailing list to receive information about upcoming rounds and how to register for a discussion.

3. If you have any questions in the meantime, please contact emma.hosein@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 an Indigenous, Black, and/or racialized rising leader.I live and/or work in the Greater Toronto and Hamilton Area (GTHA). 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

Pronouns (what's this?)

Link to your LinkedIn profile

Are there any accommodations that will make this program more accessible to you? (Please contact emma.hosein@civicaction.ca if further discussion is required)

TELL US ABOUT YOURSELF

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

Industry you identify as being a part of (this could be the sector you work or volunteer in, or are studying to join)

Other – please specify

Organization or group where you are a rising leader (this may be where you work, volunteer, or study)

Title/role at that organization or group

City or regional municipality where you live

City or regional municipality where you work/volunteer/study

CIVICACTION'S EMERGING LEADERS NETWORK

CivicMatch is offered to members of CivicAction’s Emerging Leaders Network, a free network that connects, develops, and activates rising and aspiring leaders from across the Greater Toronto and Hamilton Area (GTHA). You can become a member by signing up for the ELN’s monthly newsletter, which shares topical events and opportunities. Please indicate if you are already a member or would like to join:

Yes, I’m already an ELN member!I’m not yet a member, please sign me up for the newsletter (note that you can subscribe at any time).

How did you hear about CivicMatch?

Through promotion by a partner organization – please name the organization

Other – please specify

Contact Information