Program Registration Form

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(Hidden) First Time Application?

By completing this form, you’re signing up to join the Listen4Good (L4G) program. We’re looking forward to supporting your team!

If you have any questions regarding this form, please contact L4G at hello@listen4good.org.

This registration form has the following sections:

A. Organization Information

B. Contact Information

C. Organizational Mission and Learning Goals

D. Payer Information

E. Additional Organization Details

F. Wrap-Up

This form does not automatically save your progress. If you are not able to complete this form in one sitting, click on the “Save my progress and resume later” button on the top or bottom of the page you are on.

Note that some information may be pre-filled from previous registration(s) your organization has completed. Be sure to review all pre-filled data and correct any that has changed.

What is the name and email of the person filling out this registration form? Once submitted, a copy of the response will be sent to that email.

First Name:

Last Name:

Email:

Has your organization participated in L4G previously?

Which L4G program are you registering for?

January 2025 Online+January 2025 PremiumJanuary 2025 Amplifying Feedback Across Your OrganizationJanuary 2025 Refining Feedback Systems

Which L4G program are you registering for? You can review this timeline for an overview of the L4G start and end dates and suggested timelines for progressing through the program.

January 2025 Online+January 2025 PremiumJuly 2025 Online+July 2025 Premium

A. ORGANIZATION INFORMATION

Organization's legal name:

Publicly used name (doing business as) if different than above:

Country:

Street address:

City:

State/Outlying Territories or Province:

Zip code:

Organization type:

Website URL:

Annual budget:

Please round to the nearest whole number and do not include commas.

Total number of full-time staff that work in your organization:

B. CONTACT INFORMATION

Project Manager for L4G Implementation

The Project Manager will be responsible for overall project management and implementation of L4G, data analysis, and management of staff and client relationships to this work. If you don't know who will serve as the Project Manager yet, please include the primary contact for this registration.

Project Manager First Name:

Project Manager Last Name:

Project Manager Title:

Project Manager Email Address:

Project Manager Phone Number (###-###-####):

Has the staff member who will be the Project Manager in this program participated in L4G previously?

Project Champion

The Project Champion, typically a senior leader or manager in the organization, will be responsible for change management and tying feedback to ongoing organizational initiatives.

The Project Champion is:

The same person as the Project ManagerA different staff member of the organization

Project Champion First Name:

Project Champion Last Name:

Project Champion Title:

Project Champion Email Address:

Project Champion Phone Number (###-###-####):

The overall time commitment for the person managing an organization’s L4G project is, on average, 8-10 hours per month. This includes activities related to survey development, administration, analysis, etc. (details in example program timeline). Note that every organization is different and the work ebbs and flows, so workloads may differ from the average. How does that sound to you?

My organization is able to make the time commitment described above.Other (please explain below)

C. ORGANIZATIONAL MISSION AND LEARNING GOALS

The following questions help us understand your organization and how you will use L4G.

Please give a brief description of your organization's mission and activities. (150 words or less)

Which of the following issue areas best represents the core activities and services of your organization? (Click here for additional information about selecting your organization’s issue area.)

Issue Area Category:

Issue Area Sub-category:

Why are you interested in participating in L4G? What are the 2-3 things you hope to learn by gathering feedback through L4G? (200 words or less)

What program would you like to survey first? Tell us a bit about the audience (e.g., clients, volunteers, staff, institutional partners) and how they interact with your organization. (300 words or less)

As a survey-based approach, L4G is best for programs that are large enough to produce a meaningful number of responses. Approximately how many people will you be surveying?

The L4G survey includes core benchmarked questions as well as the opportunity to customize additional questions. Do L4G’s core survey questions (see below) feel appropriate for your audience? (Click here for Listen4Good’s detailed client survey template.)

1. How likely is it that you would recommend […]?

2. What is […] good at?

3. What could […] do better?

4. Overall, how well has […] met your needs?

5. How often do staff at […] treat you with respect?

Yes, Listen4Good’s core survey questions feel appropriateNo, Listen4Good’s core survey questions do not feel appropriateI would need to tweak the wording of these core questions to fit my use case, but the intent is a good fitI'm not sure

For organizations who have previously participated in L4G — why did your organization decide to participate again?

This is our organization's first time participating in L4GWe participated again because... (please describe below)

What are your organization’s priorities or main focus areas for your participation in this program?

D. PAYER INFORMATION

Please provide basic information on who will be paying for the fee to fund your participation in L4G. Note that by listing a funder you are allowing us to directly contact the payer and solicit payment from them. If you plan to pay out-of-pocket, please note that below.

Who will be paying for your participation in L4G?

A funder will be paying on behalf of my organizationMy organization will pay out-of-pocket

Funder organization name:

The billing contact for our organization is:

First name of billing contact:

Last name of billing contact:

Contact title:

Contact email address:

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