RFA

Address

Phone:

Fax:

Email:

Web:

Please describe your mission:

Annual Budget:

Staff size:

#Paid:

#Volunteers:

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Number of Board members:

Name of Organization

Date

Executive Director

We fully understand that the success of this program not only depends on the work of the Executive Director, but also the cooperation and participation of the organization’s Board of Directors, management and staff. We jointly endorse this Application. The Executive Director will attend all training sessions, complete all projects and spend sufficient time with the ESC consultants to assure the success of the program. We agree to pay a fee of $1,000 by the orientation day and the remaining $500 by the completion of the program. We understand that this discounted fee has been made possible thanks to the generosity of Wells Fargo Foundation and Edison International. If you wish to discuss an alternate payment schedule, please contact Aileen Preonas at aspreonas@escsc.org or 213.381.2891. Note: Electronic submission assumes authorization of those names submitted.

Board President

Number of years as E.D.

Please describe in detail what you hope to accomplish by participating in this program.