Catalyst Network Membership Form
General Information
First Name
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Last Name
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Email address
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Mailing Address
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Mobile Number
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Alternate Number
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In the questions below, rank your experience/expertise in each of the HTI Catalysts Service Areas.
Transformative Facilitation: HTI Catalysts are industry experts in their field working collaboratively to empower organizations by facilitating team-building that provides role clarity, shared understanding and commitment to a shared approach that gets the team to the goal.
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No Experience
1
2
3
4
Extensive Experience
5
1 is No Experience, 5 is Extensive Experience
Please share what (if anything) you would like to learn from the HTI Catalysts Network in the area of Transformative Facilitation.
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Leadership Development and Coaching: Our strengths-based approach includes creating intentional opportunities to build ownership, knowledge, and new capabilities while building self-awareness and confidence. We honor each leader’s unique journey and challenge them to work in a deeper way than is typical.
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No Experience
1
2
3
4
Extensive Experience
5
1 is No Experience, 5 is Extensive Experience
Please share what (if anything) you would like to learn from the HTI Catalysts Network in the area of Leadership Development & Coaching.
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Program Design: We co-construct new and evolving programming and curriculum to meet the needs of the organization and/or the communities they serve.
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No Experience
1
2
3
4
Extensive Experience
5
1 is No Experience, 5 is Extensive Experience
Please share what (if anything) you would like to learn from the HTI Catalysts Network in the area of Program Design.
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In the sections below, rank your experience/expertise in the programmatic areas and software programs listed.
Please rank your level of expertise in the following areas:
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N/A
1 (Novice)
2 (Intermediate)
4 (Advanced)
5 (Expert)
Youth Development Programming
Online & Hybrid Learning Environments
Advancing Racial Justice & Equity
Redesigning the School Experience
Culturally Responsive Pedagogy
Leadership Development
Organizational Development
Stakeholder Engagement/Collective Impact
Mindfulness and Holistic Self-Care
Please rank your level of skill set in the following areas:
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Rows
N/A
1 (Novice)
2 (Intermediate)
3 (Advanced)
4 (Expert)
Conducting Interviews & Focus Groups
Meeting and Retreat Facilitation
Needs Assessment
Report Writing
Data Collection & Analysis
Graphic Design for Print and Digital Assets
Social Media Campaigns & Content Creation
Project Management
Administrative Tasks
Program and Outcome Evaulation
Please rank your skill set in the following programs:
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Rows
N/A
1 (Novice)
2 (Intermediate)
3 (Advanced)
4 (Expert)
Google Docs
Google Slides
Google Sheets
Google Forms
Adobe Acrobat
Canva
Photoshop/Photopea
Adobe Captivate
CapCut
Zoom
Google Meet
Please list any other area(s) of expertise and your ranking.
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List additional skills and/or resources you have which may benefit the HTI Network.
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Which groups do you wish to work with most?
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Team and Organization Leaders
Educators
Parents and Caregivers
Elected Officials
Students / Youth
Higher Education/ Post Secondary
Youth Development Professionals
Community and/or Global Activists and Advocates
Non-profit Board Members & Volunteers
Philanthropists and/or Foundations
None of the above
Other
Select your areas of interest for volunteering:
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Product Development
Facilitating a monthly skill-building workshop
Marketing/Social Media
Business Development/Proposal Writing
Project support
None of these at this time
Are you interested in receiving information about the HTI Consultants Team and the requirements for membership and assessment?
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Yes
Not at this time
List any HTI projects, training, or affiliated training in which you have engaged as a consultant or participant.
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What else would you like us to know?
Paste your LinkedIn URL here (if applicable).
Attach your headshot if you have one.
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drfolami@hticatalysts.net
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How would you like to pay for your membership?
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