[Type text]

ART OF HOSTING TRAINING APPLICATION December 2012

Name: Mailing Address: City/State/Zip : Email: Office phone: Cell phone:

CURRENT ORGANIZATION AFFILIATION AND ROLE Organization: Role: CRITERIA The following criteria will guide the decision on which applications are accepted. Please craft your responses on the application with these criteria. 1. Likelihood of the applicant to employ his/her/their learning to enhance their community problemsolving. 2. Likelihood of the applicant participating in a community of hosting practitioners. While there might be many ways to participate, some ideas include but are not limited to: connecting and collaborating with other hosts on their work/projects, attending InCommons events, sharing stories and ideas with other hosts, etc. TELL US ABOUT THE WORK YOURE A PART OF TO SOLVE PROBLEMS IN YOUR COMMUNITY. (max of 2,094 characters including spaces) HOW COULD ENHANCING YOUR HOSTING (FACILITATION, DIALOGUE) SKILLS BE A HELP TO YOU IN YOUR COMMUNITY? (max of 2,094 characters including spaces) HOW COULD BEING PART OF A COMMUNITY OF HOSTING PRACTITIONERS ENRICH YOUR WORK? (max of 2,094 characters including spaces) As InCommons strives to provide training to facilitators, the following optional information would be useful to us. Please complete if you wish. Select from among the following demographic groups Gen Z (born after 1990) Gen Y or Millennial (born between 1981-1990) Gen X (born between 1965-1980) Boomer (born between 1946 and 1964) Greatest Generation (born between 1925-1945) As what ethnic group/race to you identify yourself? Check all that apply: African American or Black Caucasian or White Hispanic or Latino Native American or other indigenous group

[Type text]

Asian American or Pacific Islander Other: We will prioritize applicants: from Greater Minnesota, North Dakota, South Dakota; citizens of one of the 23 Native nations that share the same geography as Minnesota, North Dakota or South Dakota; applicants of color; and applicants from under-represented communities. If you feel that this describes one or more of the communities with which you identify, please tell us more. This section is optional. (max of 1,000 characters including spaces) By submitting this application, I agree that if selected I will attend all days of training and am willing to contribute three days of pro bono planning assistance, facilitation of upcoming InCommons gatherings, or other activities. Please submit by mail (Bush Foundation, 332 Minnesota St. Suite E-900, St. Paul MN 55101), fax (651-297-6485), or email (aanderson@bushfoundation.org) by 5 p.m. November 2, 2012, Attn: Amy Anderson.