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EIA Trainer Application

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Thank you for your interest in joining the MS Alliance for Nonprofits and Philanthropy's Excellence in Action Certified Trainer program. Please complete the application below. Upon receipt of your application, you will be contacted within two business days.

We highly recommend saving your responses in a document, in the event there is a technology error.

EIA Trainer Application

Name*
First Last
Pronouns*
Organization
Phone*
Email*
Enter Email Confirm Email
Address*
Street Address City State ZIP Code
Are you currently an Alliance trainer and/or consultant?*
- Yes
- No

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Biography*
Max. file size: 50 MB.
Headshot*
Max. file size: 50 MB.
Two fun facts about you*
Awards & Recognition*

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Updates: You may use the space below to provide updated information since you first applied. NOT REQUIRED
Biography
Max. file size: 50 MB.
Headshot
Max. file size: 50 MB.
Employment Information
Education
Licenses & Certifications
Two fun facts about you
Awards & Recognition

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Employment
If you are currently employed by another organization(s), please list their name, work title, city/state, employment start date.
Please provide the following information for your immediate previous employer: employer name, work title, city/state, employment start and end dates.*

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Education
Please include the following information about the past two educational institutions you attended in reverse chronological order: Institution Name, City/State, Major/Field of Study and Degree Awarded.
Educational Institution 1*
Educational Institution 2*
Educational Institution 3 (if applicable)

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Licenses/Certifications/Other
Please provide the following information about any licenses, certifications or special distinctions you hold: Granting Agency, City/State, Name of License/Certification, Field of License/Certification, Date of License/Certification.
#1 (if applicable)
#2 (if applicable)
#3 (if applicable)
Any additional

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Prior Experience w/ Nonprofits
How many years of experience do you have as a nonprofit consultant?*
Recent Client Engagement
Please provide the following information about your three most recent nonprofit consulting engagements: Organization Name, City/State, Start Date of Service, End Date of Service, Scope of Services Provided, Notable Results.
Client 1
Client 2
Client 3

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Areas of Expertise
Please identify which of the 12 Principles and Standards you have expertise in and are qualified to train in. You may be asked to provide evidence of your qualifications. For more information about the Principles & Standards, visit https://alliancems.org/principles-standards/
*
- 1. Civic Engagement, Advocacy, and Public Policy
- 2. Evaluation
- 3. Financial Management
- 4. Fundraising
- 5. Governance
- 6. Human Resources & Professional Development
- 7. Leadership & Organizational Culture
- 8. Legal Accountability & Transparency
- 9. Planning & Operations
- 10. Public/Private Foundations
- 11. Strategic Directions & Alliances
- 12. Volunteer Management

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Geographic Areas in MS in which you are willing to work
Regions*
- Select All
- Central
- Delta
- East
- Golden Triangle
- Gulf Coast
- Northeast
- Northwest
- Southeast
- Southwest

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Professional References
Please provide the following information for three professional references: Name, Organizational Affiliation, Work Title, Phone Number, Email Address, Years Known, Relationship
Reference #1
Reference #2
Reference #3

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Waivers
Incomplete or misleading information*
I understand that incomplete or misleading information may be grounds for permanent disqualification as an EIA trainer.
Media
The Alliance may use media featuring my likeness in promotional and evaluation materials.
Code of Ethics*
I have read and agree to follow the Code of Ethics, if provided the opportunity to become a certified EIA trainer,
Evaluation*
I understand that the Alliance will conduct participant evaluations after each EIA training and will periodically conduct observations, the results of which will be reviewed and discussed with me.
CAPTCHA

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Your investment in The Alliance helps us to serve, build capacity, and foster collaboration among and between Mississippi’s nonprofit and philanthropic communities.

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About the Alliance

The Mississippi Alliance of Nonprofits and Philanthropy is a membership association of mission-based organizations that supports learning, growth, development, and collaboration between nonprofits and philanthropy to advance solutions to complex and challenging issues.

2600 Lakeland Terrace
Jackson, MS 39216

Mail to: P.O. Box 1120
Jackson, MS 39215

Phone: (601) 968-0061
E-mail: connect@alliancems.org

© 2023 Mississippi Alliance of Nonprofits and Philanthropy. All Rights Reserved.

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