This form is the first step for interested Content Area Specialists or Trainers to express interest in joining the list of Technical Assistance Providers for the Accelerator Initiative.  If you have not done so already, please review the TA Opportunity Overview.

REMINDER: Please submit an information form for EACH person associated with the same company/firm (if applicable).

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* 1. General Background Information

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* 2. Organization Information

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* 3. What regions of the state do you work in?

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* 4. How did you hear about the Accelerator Initiative?

For the following categories of services, please indicate your area of expertise by checking the appropriate boxes. (Check all that apply)

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* 5. Board Development/Governance

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* 6. Clinical

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* 7. Community and Participant Engagement

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* 8. Communications

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* 9. Facilities

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* 10. Finance

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* 11. Fundraising

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* 12. Human Resources

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* 13. Innovation

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* 14. Legal

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* 15. Operations

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* 16. Planning

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* 17. Program

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* 18. Real Estate

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* 19. Risk Management

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* 20. Technology

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* 21. Volunteers

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* 22. Are you interested in serving as a trainer for grantees in one or more content areas? If so, please indicate what topic areas you feel well suited to provide training on.

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* 23. Please provide any additional information that demonstrates your alignment with the Accelerator Initiative (e.g., interest in the initiative, similar clients or projects, training examples, etc.).

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* 24. Please share if you identify with and/or describe your experience in working alongside the historically marginalized people that the Accelerator Initiative is designed to support. We ask this question to ensure the Accelerator Initiative lives the values in authentic and intentional ways.

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* 25. Do you require any accommodations in order to perform the role of Content Area Specialist?  If so, please describe the accommodations:

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* 26. Please describe your typical fee structure and a provide a typical hourly fee range. Are your fees hourly or project based? 

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* 27. Please attach a resume, biography or any other relevant document.

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