EXECUTIVE LEARNING GROUP

A Program of the Fieldstone Leadership Network

WHAT The Fieldstone Leadership Network is offering the Executive Learning Group - sixone-day seminars held over a six-month period.

WHY This will be an opportunity for you to learn state-of-the-art management models fornonprofits, work with other executives in solving particular problems you are facing,develop a network of resources for future use, and build relationships with a peergroup.

WHEN The seminars will be held from 9:00am to 4:00pm on the third Thursday of each month for six months beginning Thursday, January 16, 2020. Please mark your calendar with the following dates: January 16, February 20, March 19, April 16, May 21, and June 18. Coffee, drinks, and lunch will be provided.

WHERE The group will meet in the Large Conference Room of Fieldstone Leadership Network located at 14 Corporate Plaza, 2nd Floor, Newport Beach, CA 92660.

WHO The Learning Group will be limited to 11 nonprofit Executive Directors/CEOs, selected to give a balance of size and experience. This leader must report to a board of directors. Each will have made a commitment to participate in all six sessions.

The group's facilitator is Laura Spiegel, MSW, who is a nonprofit leadership and organizational development consultant with more than 30 years experience in the field of human services. She has facilitated Fieldstone Leadership Network's executive learning groups since 1999, as well as several nonprofit leaders groups. Concurrently she served as the Executive Director of the First 5 Commission of San Diego for six years and was the CEO of Home Start, Inc. for sixteen years. Laura has extensive experience in nonprofit management, fund development, and leadership development. Laura has also participated in all aspects of the Fieldstone Leadership Network since its inception and is strongly committed to developing mission-focused leadership that maximizes the impacts and effectiveness of nonprofit organizations.

HOW Each fast-moving seminar will be broken down into five sessions: - An opportunity for two members to present a current organization/leadership

problem, which the group will then clarify and work together to develop solutions. - Feedback from two members and a discussion on the usefulness of solutions

worked out at the previous meeting. - A resource-sharing time, the results of which will be compiled in a take-home

resource guide.- A presentation and discussion by the facilitator on a particular management model

or topic requested by the group.- A group evaluation of the effectiveness of the day and how the group can improve

its own usefulness to one another.

COST A nominal cost of $600 per person is required. All other costs associated with the program are underwritten by Fieldstone Leadership Network.

2020 EXECUTIVE LEARNING GROUP

Confidential Application Instructions: Type or print in black ink. Please complete each section in full. Limit answers to available space. No other attachments are needed. Application must be signed by both board chair and candidate and be received no later than October 15, 2019. Applicants will be notified of the selection decisions by the end of November.

Name ______________________________________________________________________________________________ Last First Middle Nickname

Title______________________________________ Organization ______________________________________________

Business Address _____________________________________________________________________________________

______________________________________________________________________________________________________ City State Zip

Business Phone ________________________ Fax _________________________ Cell Phone _____________________

Email Address _________________________________________ Web Address __________________________________

Spouse’s Name_______________________

How did you hear about this program?

Your Organization's Purpose

Year Founded ______________________ # of paid staff __________________ Annual Budget __________________

Your Current Responsibilities

What type of Board do you answer to? (e.g., advisory, steering, governing, etc.) ____________________________________

Do you serve or volunteer for any other nonprofit organization? ________ Organization(s) ____________________________

______________________________________________________________________________________________________

Employment - List employment since 2010. (You can attach your resume) Employer: Title: Dates:

Personal Email _________________________________________________

Interview What leadership challenges will your organization face in the next 24 months?

What is your current operating definition of leadership?

What three personal qualities most prepare you to function as a leader?

1. __________________________________________________________________________________________________

2. __________________________________________________________________________________________________

3. __________________________________________________________________________________________________

What qualities are barriers to your leadership?

1. __________________________________________________________________________________________________

2. __________________________________________________________________________________________________

3. __________________________________________________________________________________________________

What is the value of the relationships you have built as a leader?

How does your leadership currently impact your organization?

Disagree Agree I am aware of my leadership capacity I understand what it means to be a leader I apply my leadership skills effectively My leadership impacts my organization I am building on my leadership legacy

Have you had any other group learning or leadership development experiences? If so, please list.

At the end of the six months, the Learning Group will have been most helpful to you if you feel more comfortable with or learn:

To what level do you agree with the following statements?

Commitment

To participate in the Executive Learning Group, you agree with the following:

1. The Fieldstone Learning Group is one of peer learning which requires participation from the entire group, therefore, it ismandatory that you attend all six sessions. The sessions are one full day, from 9:00am to 4:00pm on the the thirdThursday of the month. If you are unable to complete any of the sessions below, you will not be able to graduate from theLearning Group or remain in the Fieldstone Leadership Network and your tuition will be forfeited.

2020 Executive Learning Group Dates

Thursday, January 16 Thursday, February 20 Thursday, March 19

Thursday, April 16 Thursday, May 21 Thursday, June 18

2. If your employment status changes while in this program, you may continue in the program as long as you have attended thefirst session and intend to remain in the Social Sector.

3. The work of Fieldstone Leadership Network includes the taking of pictures of our leadership programs and participants andour involvement with the community. As a partner with us and a participant in our various programs you acknowledge thatyour image may appear in our photographs and videos. You agree to give permission to Fieldstone Leadership Network touse these images in our publications and communication vehicles, including our website and social media platforms.

4. There may be sensitive information that is shared in the sessions. In honor of our value of teamwork and trust, all information shared as part of this group is to remain confidential.

My signature below indicates my commitment to and understanding of the Fieldstone Leadership Network commitment policy. Payment of the $600 tuition is due on submission of application.

_________________________________________ ___________________________________________ Signature of Applicant Signature of Board Chair

This verifies the organization's agreement of the attendance and tuition requirements.

Please print, sign and return application with $600 payment no later than October 15, 2019 to:

Fieldstone Leadership Network Attn: Robin Stropko 14 Corporate Plaza Drive, Suite 100 Newport Beach, CA 92660 (949) 873-2717 Fax: (949) 515-8520 robins@fieldstoneleadership.org

We are seeking financial support from grantmakers so that together we may continue providing necessary and impactful leadership work in the nonprofit community. Corporate and community foundations, and local and international funders request basic demographic data, and your assistance with this request of information is greatly appreciated.

1. Does your organization provide services for low income clients as described by your agency?

Yes

No

2. Does your organization provide services for moderate income clients as described by your agency?

Yes

No

3. What is the age of the clients your organization supports? Click all that apply.

Under 12 years of age

12-17 years of age

18-24 years of age

25-34 years of age

35-44 years of age

45-54 years of age

55-64 years of age

65-74 years of age

75 years or older

4. Please specify the ethnicity(ies) of your clients. Indicate all that apply.

White or Caucasion

Hispanic or Latino

Black or African American

Native American or American Indian

Asian/Pacific Islander

Other (please specify)

Asian/Pacific Islander

Asian/Pacific Islander