Public Heart of Black Leadership Application

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Instructions


We are thrilled you are interested in the Heart of Black Leadership! Please take some time to answer the following questions thoughtfully and sincerely. We guarantee complete respect of your privacy. 

Completing this application typically takes 15-20 minutes. If you have any questions, please contact us at training@rockwoodleadership.org

If you need to stop and resume at a later time, there is a checkbox (above) that enables you to save your progress. Required fields are marked with an asterisk (*). You will need to provide your email address and password each time you save your application. An email with a link to resume your application will be sent to the email you provide.

Once you complete the form, click "Next" to review your application. Afterwards, click "Confirm" to send us your application. You will receive an update on the status of your application in 10-12 business days.
Training Choice

Due to health and safety recommendations, Rockwood is not currently offering on-site Heart of Black Leadership trainings.
Rockwood Leadership Institute is dedicated to the safety and well-being of our community and collective. As we continue to navigate this global pandemic, any Rockwood event may be rescheduled, canceled or moved to virtual if...
  • public health guidelines change
  • the event site has an outbreak of COVID-19
  • the county-level COVID-19 status has moved to “high” based on CDC monitoring
If Rockwood cancels an in-person training, we will let you know 6 weeks before the first day of the training. Our staff will work with you to transfer your enrollment to another session (without any transfer fee) or you will receive a full refund for tuition and/or room & board as per our transfer and cancellation policy.

You can find more about Rockwood's COVID-19 Safety Protocols here.

Rockwood strives to have 50% Black, Indigenous, People of Color participants for every “standard” Virtual/Art of Leadership.
If at any point during the enrollment process the percentage of folks who identify as BIPOC falls below this minimum for a training, we will limit registration of Non-BIPOC applicants. Non-BIPOC applicants will have the option of moving to a waitlist, and will be offered space in the training once the minimum percentage is met.



This offering will run from 10am-3:30pm Pacific Time


This offering will run from 10am-3:30pm Mountain Time


This offering will run from 10am-3:30pm Central Time


This offering will run from 10am-3:30pm Eastern Time



This offering will run from 10am-3:30pm Pacific Time


This offering will run from 10am-3:30pm Mountain Time


This offering will run from 10am-3:30pm Central Time


This offering will run from 10am-3:30pm Eastern Time


Please select all that apply.

Affiliation
Fee Text
The training fee for Rockwood trainings is based on a sliding scale, weighted against your organization's budget or assets in the current year. Those participating in on-site trainings are expected to cover their travel costs.

To determine your training fee, please indicate the type of organization you work for and its budget or asset range. The fee that displays is an estimate for the program you are applying for; the actual fee will be listed on the invoice you receive upon acceptance.







AAOL Tuition HIDDEN/NOT IN USE




Applicable discounts will be reflected on the invoice you receive upon acceptance

$
Organization Information

If you're not affiliated with an organization, please enter "Unaffiliated" above


If you do not have a website, please enter "N/A" above











Individual Information

Please indicate your PREFERRED first name.



Please let us know what you'd like to be called during your training.

Please provide your name as you would like it to appear on your certificate of completion.

Please share your pronouns with us (e.g. she, he, they)


























All Heart of Black Leadership Online participants receive a link to an electronic, fillable PDF version of the Participant Workbook for this training. To honor the labor of Rockwood staff and Rockwood's collective sustainability —as well as environmental health—participant workbooks will only be printed and shipped to those who require a hard copy of the workbook to be able to fully participate in the training.



Up to 255 characters allowed
Organizational Information

Please select all that apply.


Please select all that apply.


Please select all that apply.


Please select all that apply.

Additional Information

Please select all that apply.


Please select all that apply.


Please select all that apply.

Demographic Information
Training cohort selections are influenced by Rockwood’s commitment to race equity and creating a diverse learning community. The below information will help us build such a community. All information is kept strictly confidential.

In an effort to allow you to use your own words to name your racial and gender identity, we are providing a space for you to do so. We are also asking you to click those same or different boxes as well. This is to make data collection easier for us as we are approaching funders who fund specific groups and communities. We appreciate you filling out all questions even though they may replicate each other.



Please select all that apply.



Please select all that apply.


Please select any/all choices with which you identify.



On-site Trainings/Participants
All of our on-site trainings are shared occupancy. Rockwood typically arranges rooming based on the age and gender of participants. If you would like us to consider any particular preferences or needs when assigning rooms, please specify below.

Please select all that apply.

Please let us know who to contact in the event of an emergency. This information will remain confidential and will be used by Rockwood staff for notification purposes only in case of an emergency.



















Please click "Next" to review your application. Afterwards, click "Confirm" to send us your application. You will receive an update on the status of your application in 10-12 business days.