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Welcome!

Cal Wellness "Be Well, Lead Well" Sabbatical Program Award Application


Thank you for your interest in the Cal Wellness “Be Well, Lead Well” Sabbatical Program Award. To learn more about the sabbatical award program, please visit our website: "Be Well, Lead Well: A New Sabbatical Award Program."


We will award up to eight $60,000 grants to nonprofit organizations dedicated to advancing health equity and wellness in their communities. The organization must use at least $45,000 of the award to pay for the nonprofit leader’s salary and expenses during the sabbatical period. The remaining funds (up to $15,000) are to go toward professional development for staff and interim leadership.


If you have any questions about the program, please e-mail BeWellSabbatical@calwellness.org. If you need help completing this form, please reach out to grants@calwellness.org.


If you would like to prepare your responses offline, please use this link to download a text version of the application.

Before You Begin the Online Form
  • You must complete the online form in one sitting. You will not be able to save your work and return later.
  • If you leave the form before submitting it, your information will be lost.
  • It is recommended to use the worksheet linked above to organize your responses in advance and complete your internal review before entering them online.
  • Before you submit, please review your responses in the online form thoroughly to ensure accuracy and completeness.
  • Required questions are identified by a red asterisk (*).
  • In the online form, some larger paragraph boxes can be expanded. Look for two diagonal lines in the lower-right corner of the text box. Click and drag these lines to resize the box as needed. 

Documents to Prepare for Upload

Please gather and upload the following documents. Accepted file types include Microsoft Word (.doc or .docx), Excel (.xls or .xlsx), and Adobe PDF (.pdf). Each file should not exceed 5MB in size.  Please review your documents carefully to ensure they align with these guidelines.

  • Cal Wellness Sabbatical Program Award Narrative (up to four pages)
    • Refer to the Attachments section below to see what questions need to be addressed as part of the narrative submission.
  • Budget Form - Cal Wellness Sabbatical Program Award Budget Form
  • Budget Narrative
  • Annual Report OR description of the organization (up to two pages)
  • List of Board of Directors
  • Candidate’s resume that covers, at a minimum, the last 10 years
  • Organizational Chart
  • Letter of support from your Executive Director (this is required if applicant is not the Executive Director).
  • If your organization or project is under fiscal sponsorship, please upload a copy of the fiscal sponsorship agreement in the related section below.

Please note: If selected as a sabbatical honoree, the candidate’s background information and responses may be used to develop the public announcement of the award.

 

Organization Contact Information

Name of the organization conducting the work.






Sabbatical Applicant
This is the person who is applying to receive the sabbatical.











Organization Background

Please provide the date the organization began its work. If you do not have the exact date, use January 1 followed by the year the organization was established — for example, 01/01/2001.



Type in your organization's current fiscal year end date. For example, if your fiscal year runs from 01/01/2024 to 12/31/2024, then type 12/31/2024 into the box above.

Please use whole dollars.











Using the drop-down menu, select your organization's current fiscal year. If your fiscal year spans over two years, select the end year.

Please use whole dollars.

Sabbatical Application Questions



Character limit is 255.






MM/DD/YYYY

The Cal Wellness Sabbatical Program Award enables the candidate to spend between three and six months (maximum) away from the workplace. The grant term is a maximum of 18 months to allow the organization and the executive director/CEO to plan for the sabbatical.

A full-time employee counts as one FTE employee. Two part-time employees whose hours equal full-time should be listed as one FTE. Round to the nearest whole number. If there are no paid employees, enter zero.

Character limit is 5,000.

Please gather and upload the following documents. Accepted file types include Microsoft Word (.doc or .docx), Excel (.xls or .xlsx), and Adobe PDF (.pdf). Each file should not exceed 5MB in size.  Please review your documents carefully to ensure they align with these guidelines.

Documents to Upload

Your overall document must be four pages or less, and use 12-point font and 1-inch margins.
For this section, the candidate should upload a narrative that answers the following questions. As you answer the following questions, please consider how your work aligns with our overall mission to protect and improve the health and wellness of the people of California.  

1. How does your organization address advancing health equity? If your organization’s work does not fit into our strategic priority areas, please explain how your organization increases access to other pathways to health and wellness.

2. How or why did you become engaged in your current field or work?

3. Reflect on your current stage in your leadership journey. How could a sabbatical contribute to your personal wellness and provide a meaningful respite?

4. Considering the changing US political climate, how has your work and/or your organization been impacted, and how do you anticipate a sabbatical might help you adapt or respond to these changes?

5. How would you use this sabbatical? 

6. Should you be awarded the sabbatical, how do you envision your responsibilities being handled in your absence?

7. Are you currently applying for any other sabbatical programs? If yes, please specify which ones and describe your status in their application processes.

8. What additional information or guidance do you need to better understand the sabbatical process and its benefits for you and your organization? For example, this might include interim management planning, advice on communicating with the Board, or understanding how to fully embrace the respite period.

Download and complete the Cal Wellness Sabbatical Program Award Budget Form and follow the directions listed in the form. Round amounts to the nearest whole dollar. Use the categories listed or add line items specific to your needs.

Upload a document containing a brief budget narrative that describes how each line item in the budget will be spent.





Geographic Focus
Select the geographic area(s) that best represent your request by clicking on the related location(s). Once highlighted, it is selected. To select additional areas, hold down the Ctrl key and click on your next selection.  Use the scroll bar to ensure that all desired areas are highlighted. 

If you select "Specific Regions of California," you will be asked to indicate which regions and if you choose to, you can select specific counties within those regions.

Please select the specific regions within California that best represent your request by Ctrl clicking, as above. The specific regions are defined as:
    Region County list
    Bay Area Alameda County, Contra Costa County, Marin County, Napa County, San Francisco County, San Mateo County, Santa Clara County, Solano County, Sonoma County
    Central Coast Monterey County, San Benito County, San Luis Obispo County, Santa Barbara County, Santa Cruz County, Ventura County
    Greater Los Angeles Los Angeles County
    Greater Sierra Alpine County, Amador County, Calaveras County, El Dorado County, Inyo County, Mariposa County, Mono County, Nevada County, Placer County, Sierra County, Tuolumne County
    Inland Area and Imperial Imperial County, Riverside County, San Bernardino County
    Northern California Del Norte County, Humboldt County, Lake County, Lassen County, Mendocino County, Modoc County, Plumas County, Siskiyou County, Trinity County
    Sacramento Valley Butte County, Colusa County, Glenn County, Sacramento County, Shasta County, Sutter County, Tehama County, Yolo County, Yuba County
    San Joaquin Valley Fresno County, Kern County, Kings County, Madera County, Merced County, San Joaquin County, Stanislaus County, Tulare County
    South Coast Orange County, San Diego County

    Bay Area
    If you wish to select specific counties within the Bay Area, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

      Central Coast
      If you wish to select specific counties within the Central Coast, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

        Greater Los Angeles
        If you wish to select specific counties within the Greater Los Angeles, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

          Greater Sierra
          If you wish to select specific counties within the Greater Sierra, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

            Inland Area and Imperial
            If you wish to select specific counties within the Inland Area and Imperial, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

              Northern California
              If you wish to select specific counties within the Northern California, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                Sacramento Valley
                If you wish to select specific counties within the Sacramento Valley, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                  San Joaquin Valley
                  If you wish to select specific counties within the San Joaquin Valley, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                    South Coast
                    If you wish to select specific counties within the South Coast, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                      Geographic Focus
                      Select the geographic area(s) that best represent your request by clicking on the related location(s). Once highlighted, it is selected. To select additional areas, hold down the Ctrl key and click on your next selection.  Use the scroll bar to ensure that all desired areas are highlighted. 

                      If you select "Specific Regions of California," you will be asked to indicate which regions and if you choose to, you can select specific counties within those regions.

                      Please select the specific regions within California that best represent your request by Ctrl clicking, as above. The specific regions are defined as:
                        Region County list
                        Bay Area Alameda County, Contra Costa County, Marin County, Napa County, San Francisco County, San Mateo County, Santa Clara County, Solano County, Sonoma County
                        Central Coast Monterey County, San Benito County, San Luis Obispo County, Santa Barbara County, Santa Cruz County, Ventura County
                        Greater Los Angeles Los Angeles County
                        Greater Sierra Alpine County, Amador County, Calaveras County, El Dorado County, Inyo County, Mariposa County, Mono County, Nevada County, Placer County, Sierra County, Tuolumne County
                        Inland Area and Imperial Imperial County, Riverside County, San Bernardino County
                        Northern California Del Norte County, Humboldt County, Lake County, Lassen County, Mendocino County, Modoc County, Plumas County, Siskiyou County, Trinity County
                        Sacramento Valley Butte County, Colusa County, Glenn County, Sacramento County, Shasta County, Sutter County, Tehama County, Yolo County, Yuba County
                        San Joaquin Valley Fresno County, Kern County, Kings County, Madera County, Merced County, San Joaquin County, Stanislaus County, Tulare County
                        South Coast Orange County, San Diego County

                        Bay Area
                        If you wish to select specific counties within the Bay Area, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                          Central Coast
                          If you wish to select specific counties within the Central Coast, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                            Greater Los Angeles
                            If you wish to select specific counties within the Greater Los Angeles, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                              Greater Sierra
                              If you wish to select specific counties within the Greater Sierra, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                                Inland Area and Imperial
                                If you wish to select specific counties within the Inland Area and Imperial, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                                  Northern California
                                  If you wish to select specific counties within the Northern California, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                                    Sacramento Valley
                                    If you wish to select specific counties within the Sacramento Valley, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                                      San Joaquin Valley
                                      If you wish to select specific counties within the San Joaquin Valley, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

                                        South Coast
                                        If you wish to select specific counties within the South Coast, please Ctrl click all options that apply. You do not have to select any counties if you work across the whole region.

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                                          Board & Executive Staff Demographics


                                          Why are we collecting this information?

                                          We collect demographic information to better understand who is leading the organizations Cal Wellness funds.

                                           

                                          Since our inception, we have been committed to funding organizations that strive to improve the health and wellness of traditionally underserved communities. Diversity, equity and inclusion is a core foundation value and an important component of our efforts to advance health equity. We believe that when organizations have leaders in decision-making roles who mirror the identities, values and interests of the communities they serve, there is greater likelihood of the organization more effectively contributing to improved health outcomes.

                                           

                                          We ourselves collect and report demographic data on Cal Wellness board and staff via GuideStar as part of our commitment to diversity, equity, inclusion and transparency.

                                           

                                          How will Cal Wellness use this information?

                                          This information is just one component of many that will determine whether or not you will be invited to submit a proposal. We are asking for this information in the letter of interest stage because we want to identify patterns related to what organizations are applying and which are getting funded. One of our core values is promoting equity in our grantmaking and internal operations.

                                           

                                          Your information is confidential. Only Cal Wellness staff will have access to your specific demographic data. Any public description of the demographic composition of Cal Wellness grant applicants will be data reported in the aggregate.

                                          If your organization has a fiscal sponsor, please only provide demographic data on the advisory board and executive staff for your organization or program, not for the fiscal sponsor. If your organization or program is part of a larger entity, please provide demographic data on the advisory board and staff specific to your organization or program, not the larger entity, unless they are the same.

                                          Board - Total Members

                                          Please note that each of the board demographic sections below must add up to the total number of board members before the application can be submitted, unless you have selected a reason for not providing the numbers.
                                          Board Demographics - Race/Ethnicity


                                          Please provide the number of board members in each demographic category based on how they publicly identify themselves. If your organization does not collect certain information, please select “don’t collect.” If your organization does not wish to report, please select “declined to state.”




                                          Ethnicities

                                          Those who identify as being from or descending from the Caribbean or the African continent.

                                          Those who identify as being from or descending from East, Southeast Asia, or South Asia.

                                          Those who identify as being from or descending from any of the Pacific Islands including, for example, Guam, Samoa, Tonga, Fiji and Hawaii.

                                          Those who identify as being from or descending from Western and Eastern Europe.

                                          Those who identify as being from or descending from Mexico, Central or South America, Cuba, Puerto Rico or other Spanish culture or origin.

                                          Those who identify as being or descending from the Arabian Peninsula, the Middle East or Northern Africa.

                                          Those who identify as indigenous peoples of the Americas and Alaska.

                                          Those who identify as being from two or more racial or ethnic categories.

                                          Those who have not explicitly stated or declined to state their race/ethnicity.

                                          Please enter the number of people who identify as a specified race/ethnicity from above.

                                          Those who have identified as a race/ethnicity outside of the limited options presented here and have specified their race/ethnicity. Please enter a preferred description to specify the particular race/ethnicity.  

                                          Autocalculated sum of all of the individual ethnicity values entered.
                                          Board Demographics - Gender

                                          Please provide the number of board members in each demographic category based on how they publicly identify themselves. If your organization does not collect certain information, please select “don’t collect.” If your organization does not wish to report, please select “declined to state.”





                                          Gender Expression

                                          Those who identify as female.

                                          Those who identify as male.

                                          Those who identify as having a gender identity which falls outside the traditional gender binary of male or female.

                                          Those who have not explicitly stated or declined to state their gender expression.

                                          Please enter the number of people who identify as the specified gender expression from above.

                                          Those who identify as a gender identity outside of the limited options presented here and have specified their gender expression. Please enter a preferred description to specify the particular gender expression.

                                          Autocalculated sum of all of the individual gender values entered.
                                          Gender Identity

                                          Those who identify as having a gender identity that differs from the sex assigned to them at birth.

                                          Those who identify as having a gender identity that matches the sex assigned to them at birth.

                                          Those who have not explicitly stated or declined to state their gender identity.

                                          Please enter the number of people who identify as the specified gender identity from above.

                                          Those who identify as a gender identity outside of the limited options presented here and have specified their gender identity. Please enter a preferred description to specify the particular gender identity.

                                          Autocalculated sum of all of the individual gender values entered.
                                          Board Demographics - Disability

                                          Please provide the number of board members in each demographic category based on how they publicly identify themselves. If your organization does not collect certain information, please select “don’t collect.” If your organization does not wish to report, please select “declined to state.”




                                          Disability

                                          Those who identify as having a disability (preferring people-first language) or identify as being a disabled person (preferring identity-first language).

                                          Those who do not identify as having a disability or being a disabled person

                                          Those who have not explicitly stated or declined to state their identity with respect to disability.

                                          Autocalculated sum of all of the individual disability values entered.
                                          Board Demographics - Sexual Orientation

                                          Please provide the number of board members in each demographic category based on how they publicly identify themselves. If your organization does not collect certain information, please select “don’t collect.” If your organization does not wish to report, please select “declined to state.”




                                          Sexual Orientation

                                          Those who identify as gay, lesbian, bisexual or another sexual orientation within the LGBTQIA+ community.

                                          Those who identify as heterosexual or straight.

                                          Those who have not explicitly stated or declined to state their sexual orientation.

                                          Please enter the number of people who identify as a specified sexual orientation from above.

                                          Those who identify as having a sexual orientation outside of the limited options presented here and have specified their sexual orientation. Please enter a preferred description to specify a sexual orientation and indicate the number of people who identify as having that sexual orientation.

                                          Autocalculated sum of all of the individual sexual orientation values entered.

                                          Page 3


                                          Executive Staff - Total Number

                                          Please provide the total number of people in your organization's leadership for each demographic category based on how they publicly identify themselves. (Leadership is defined as CEO/Executive Director AND other leadership staff.) If your organization does not collect certain information, please select “don’t collect.” If your organization does not wish to report, please select “declined to state.”


                                          Please note that each of the executive staff demographic sections below must add up to the total number of executive staff before the application can be submitted, unless you have selected a reason for not providing the metrics.
                                          Executive Staff Demographics - Race/Ethnicity

                                          Please provide the total number of people in your organization's leadership for each demographic category based on how they publicly identify themselves. (Leadership is defined as CEO/Executive Director AND other leadership staff.) If your organization does not collect certain information, please select “don’t collect.” If your organization does not wish to report, please select “declined to state.”




                                          Ethnicities

                                          Those who identify as being from or descending from the Caribbean or the African continent.

                                          Those who identify as being from or descending from East, Southeast Asia, or South Asia OR being from or descending from any of the Pacific Islands including, for example, Guam, Samoa, Tonga, Fiji and Hawaii.

                                          Those who identify as being from or descending from East, Southeast Asia, or South Asia OR being from or descending from any of the Pacific Islands including, for example, Guam, Samoa, Tonga, Fiji and Hawaii.

                                          Those who identify as being from or descending from Western and Eastern Europe.

                                          Those who identify as being from or descending from Mexico, Central or South America, Cuba, Puerto Rico or other Spanish culture or origin.

                                          Those who identify as being or descending from the Arabian Peninsula, the Middle East or Northern Africa.

                                          Those who identify as indigenous peoples of the Americas and Alaska.

                                          Those who identify as being from two or more racial or ethnic categories.

                                          Those who have not explicitly stated or declined to state their race/ethnicity.

                                          Please enter the number of people who identify as a specified race/ethnicity from above.

                                          Those who have identify as a race/ethnicity outside of the limited options presented here and have specified their race/ethnicity. Please enter a preferred description to specify a particular race/ethnicity and indicated the number of people who identify as being from that specified race/ethnicity.

                                          Autocalculated sum of all of the individual ethnicity values entered.
                                          Executive Staff Demographics - Gender

                                          Please provide the total number of people in your organization's leadership for each demographic category based on how they publicly identify themselves. (Leadership is defined as CEO/Executive Director AND other leadership staff.) If your organization does not collect certain information, please select “don’t collect.” If your organization does not wish to report, please select “declined to state.”





                                          Gender Expression

                                          Those who identify as female.

                                          Those who identify as male.

                                          Those who identify as having a gender identity which falls outside the traditional gender binary of male or female.

                                          Those who have not explicitly stated or declined to state their gender identity.

                                          Please enter the number of people who identify as a specified gender identity from above.

                                          Those who identify as a gender identity outside of the limited options presented here and have specified their gender identity. Please enter a preferred description to specify a particular gender identity and indicated the number of people who identify as that gender identity.

                                          Autocalculated sum of all of the individual gender values entered.
                                          Gender Identity

                                          Those who identify as having a gender identity that differs from the sex assigned to them at birth.

                                          Those who identify as having a gender identity that matches the sex assigned to them at birth.

                                          Those who have not explicitly stated or declined to state their gender identity.

                                          Please enter the number of people who identify as a specified gender identity from above.

                                          Those who identify as a gender identity outside of the limited options presented here and have specified their gender identity. Please enter a preferred description to specify a particular gender identity and indicated the number of people who identify as that gender identity.

                                          Autocalculated sum of all of the individual gender values entered.
                                          Executive Staff Demographics - Disability

                                          Please provide the total number of people in your organization's leadership for each demographic category based on how they publicly identify themselves. (Leadership is defined as CEO/Executive Director AND other leadership staff.) If your organization does not collect certain information, please select “don’t collect.” If your organization does not wish to report, please select “declined to state.”




                                          Disability

                                          Those who identify as having a disability (preferring people-first language) or identify as being a disabled person (preferring identity-first language).

                                          Those who do not identify as having a disability or being a disabled person

                                          Those who have not explicitly stated or declined to state their identity with respect to disability.

                                          Autocalculated sum of all of the individual disability values entered.
                                          Executive Staff Demographics - Sexual Orientation

                                          Please provide the total number of people in your organization's leadership for each demographic category based on how they publicly identify themselves. (Leadership is defined as CEO/Executive Director AND other leadership staff.) If your organization does not collect certain information, please select “don’t collect.” If your organization does not wish to report, please select “declined to state.”




                                          Sexual Orientation

                                          Those who identify as gay, lesbian, bisexual or another sexual orientation within the LGBTQIA+ community.

                                          Those who identify as heterosexual or straight.

                                          Those who have not explicitly stated or declined to state their sexual orientation.

                                          Please enter the number of people who identify as a specified sexual orientation from above.

                                          Those who identify as having a sexual orientation outside of the limited options presented here and have specified their sexual orientation. Please enter a preferred description to specify a sexual orientation and indicate the number of people who identify as having that sexual orientation.

                                          Autocalculated sum of all of the individual sexual orientation values entered.
                                          Addressing Diversity, Equity and Inclusion
                                          Please reflect on and share your answers to the following questions. We want to hear what your current thinking/approach is around DEI. Your answers will also allow us to identify barriers that may be sector-wide, which may be addressed through capacity building support for individual organizations or a cohort.


                                          Feedback Section

                                          The California Wellness Foundation