Test Repeater - The New Philanthropists

TNP BOARD MATCHING PROGRAM: NONPROFITS

The New Philanthropists is excited to help you take the next step in your board’s DEI journey and in creating a more inclusive and equitable environment for all. Before you begin your application, we advise you to have as much information available about your board demographics, bylaws, and structure.

"*" indicates required fields

Contact & Background Information

Name*

First Last

Title*

Organization Name*

Email*

Website*

Organization Main Phone Number*

Direct Phone Number or Cell Phone*

Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is your nonprofit's mission statement?*

When was your local organization established?*

What impact areas does your nonprofit represent? (Select up to 3)*

Hover over the question mark next to each impact area for examples.

Which Healthcare categories would more specifically describe your organization? (Select up to 3)*

General Health

AIDS/HIV

Cancer

Chronic Diseases

Diabetes

If Other Please Explain*

Select your annual operating budget.*

$0 – $100,000

$100,000 – $250,000

$250,000 – $500,000

$500,000 – $1,000,000

$1 Million – $5 Million

$5 Million +

BOARD NEEDS

How many board positions are you trying to fill?*

What is the length of the organization's board term?*

GIVE OR GET: What is the board's Give or Get requirement?*

None

$0 – $500

$501 – $1,000

$1,001 – $2,500

$2,501+

Other

If Other Please Explain*

Are you willing to waive your gift policy?*

How many years of prior board experience are you seeking from your board prospects?*

Which community and/or leadership affiliations are you looking for in a board prospect?*

Faith

Professional Association

School Leadership

Business/Organization

Government/Elected Official

Grassroots

Other

If Other Please Explain*

Which communities is your board trying to strengthen relationships with? (Select all that apply)*

American Indian – Alaskan Native – Indigenous

Asian American / East Asian / South Asian / Southeast Asian

Black / African American / African / African Descent

Latina(o)(x) / Chicana(o)(x) / Hispanic American

Middle Eastern / North African

Native Hawaiian / Pacific Islander

White / Caucasian / European Descent

In addition to racial diversity, is gender diversity a current priority for your board's DEI/recruitment goals?*

If so, which gender identities would you like more representation of on your board?*

Woman

Man

Trans Woman

Trans Man

Non-Binary

Other

Which industries would you like the board prospect to represent? (Select up to 3)*

If Other Please Explain*

What skill sets does the board need? (Select up to 3)*

If Other Please Explain*

Board Diversity, Equity, and Inclusion Analysis

Nonprofit Information

How many people serve on the board?*

How many people are on the organization's executive team?*

Communities Served

Enter the racial demographic breakdown of the communities served by your organization. Click “add entry” to enter the data for another community served.

Race / Ethnicity	Estimated Percentage	Actions

There are no Communities.

Board Diversity

Board Demographics

Enter the demographics for each board member. Click “add more” to enter the data for another person.

Role	Gender	Age	Time on the Board	Race/Ethnicity	Sexual Orientation	Ability / Disability Status	Actions

There are no Board Members.

Executive Team Diversity

NOTE: Executive Team refers to the top level management or leadership of staff.

Executive Team Demographics

Enter the demographics for each executive team member. Click “add more” to enter the data for another person.

Role	Gender	Age	Employment Duration	Race/Ethnicity	Sexual Orientation	Ability / Disability Status	Actions

There are no Executive Team Members.

DEI Vision & Goals

Who from staff is currently driving DEI initiatives for the organization?*

Who from the board is currently driving DEI strategy for the organization?*

What does success look like for your organization for DEI? What are your goals for DEI?*

Policies

Does the organization have a non-discrimination or equal employment opportunity policy for your employees?*

Does the non-discrimination or equal employment opportunity policy extend to the board members?*

Activities & Best Practices

List any organizations that your nonprofit currently partners with that provide support to marginalized communities?*

During the past two years, has your nonprofit engaged in any initiatives to support marginalized communities?*

Please describe a maximum of three such efforts.*

Has your organization and/or board engaged in targeted recruiting efforts towards underrepresented/marginalized board candidates within the past three years?*

Please list how the organization and/or board has engaged in targeted recruiting efforts towards underrepresented/marginalized board candidates.*

How many anti-racism and/or DEI trainings have your board members attended in the last 12 months?*

What is the estimated percentage of board members that attended at least one of the anti-racism or DEI trainings in the last 12 months?

Please briefly describe the training(s).*

How many anti-racism and/or DEI trainings has your executive team attended in the last 12 months?*

What is the estimated percentage of your executive team that attended at least one of the anti-racism or DEI trainings in the last 12 months?

Please briefly describe the training(s).*

List all of the activities that your organization has done to advance and implement diversity, equity, and inclusion into the organization in the past 12 months and who drives those initiatives (i.e. board assessments, strategic planning with equity, reimagining policies or governance structures, DEI committee or task force, DEI statement, etc.).*

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