The ProjectReflection Form

The Project
Reflection Form

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Thank you for your interest in joining us for The Project pilot! The questions that follow are meant as an opportunity for reflection for both professional and lay organizational leaders.

We hope this offers you a meaningful opportunity to think about your organization and your own personal leadership. Because all too many programs only center executive directors and real change needs full team support and buy-in, we also welcome and encourage you to include your teams in this process, inviting in their perspectives and feedback.

Sections 1–4 are to be filled out by the executive director with team support and input. Section 5, on Page 4, features a downloadable Microsoft Word document for a board member to complete and return to you, which should then be uploaded as part of this form. Additional board and team members are invited to give input to this document, should you wish.

You may save your progress while working on this Reflection Form and return to it at a later date by checking the box at the top of the page.

We encourage you to share the completed Reflection Form, including the uploaded Word document from a board member, with us whenever you are ready. The last moment to share this information with us is February 19 at 11:59 p.m. ET.

Please note: Before continuing further, please know The Project pilot is only open to organizations based in the United States (including Puerto Rico) and Canada.

We appreciate your time and effort working on this and are looking forward to learning more about you.

Section 1: Organizational Information and Brief Overview

Organization Name

NTEE Code

EIN

Please only complete this if you are a US based organization.

Organization Website

Briefly describe your organization's mission

Briefly describe who (staff team, contractors, and such) does the work including demographics.

Briefly describe who the work is for, including demographics.

Section 2: Contact Information

First Name

Last Name

Pronouns

Phone Number

Please provide your direct line or extension. This number will only be used to contact you regarding The Project.

Country

Street Address

City

State

Province

Zip/Postal Code

Section 3: Leadership Demographic Information

This question is optional. All responses are confidential and play no role in decisions around pilot participation. Collection of this data helps NAS better understand populations interested in our programs.

Please tell us briefly about your racial and ethnic identities, and if you are part of a co-leadership team, please include them as well.

Section 4: About Your Organization & Professional Leadership

Participating in this pilot is a team effort. What members of your board and organization will participate in The Project alongside you? Please provide their names and titles.

What is your leadership philosophy?

What values unite those that work in or on behalf of your organization?

If you’re filling out this form, we know you’re interested in making change within yourself, your organization, and your community. What we’d like to know is why: why is this opportunity at this moment feeling right for you and your team?

Knowing that this pilot is about supporting change, we’d like for you to give us a window into you and your organization’s journey. Looking back, what is a recent change you and your team have accomplished that you are proud of? What was the genesis of the change and the impact of making it? What barriers or challenges did you encounter along the way?

Looking ahead, what have you / your organization set your sights on that you’d like support for OR to work on as part of your participation in The Project?

Tell us about your favorite training or book you’ve read related to equity or social justice. What about this training or book resonated with you?

The Project pilot will require time and commitment from you and your team. How do you plan to commit? What barriers or challenges do you see that might stand in the way of you and your team’s full participation? What support would you need to participate fully?

Section 5: About Your Lay Leadership (To be filled out by board member)

Clicking the following link will immediately initiate a download of a Microsoft Word document containing Reflection Form questions for the board member supporting you in joining The Project. Please attach the completed document below. As with the rest of this Reflection Form, additional board and team are invited to give input, should you wish.

Download The Board Member Reflection Form

Please list the board member's name.

Please attach your board member's completed document here.

Is there anything else you would like NAS to be aware of regarding your Reflection Form or participation in The Project?

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