Application for Ambassadors for Belonging and Equity Cohort
Please fill out the application with as much detail as you can provide so our Selection Committee has enough content to complete a thorough review.
Application Deadline Is Midnight on Sunday, May 31, 2026
Full Name
*
First Name
Last Name
Pronouns
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
1.Tell us a bit about who YOU are (your passions/interests, core values). 2. What lived experiences and other unique qualities do you have that would make you a good fit for the ambassador program?
*
3. Please describe why you are interested in the ambassadorship cohort for equity and belonging. 4. Please include examples of how you believe participation in this cohort will support your personal and/or professional growth.
*
5. In your own words, describe your understanding of what belonging means. Please provide one to two concrete examples. 6. In your own words, describe your understanding of what equity means. Please provide one to two concrete examples.
*
7. Please share up to five real life examples of how you show your personal commitment to diversity, equity, inclusion, belonging (DEIB) through your personal life, professional work, community work, advocacy/changemaking work, etc. 8. If applicable, please share any leadership roles you have embodied within this work.
*
9. Are you willing to commit to this cohort for a period of one (1) year?
Yes
No
10. Are you willing to travel to the Othering & Belonging Conference between the dates of October 8 and October 11, 2026? *For special circumstances, accommodations for online participation can be made.
Yes
No
11. Are you willing to participate in the mandatory quarterly cohort meetings held at Rochester Area Foundation? *For special circumstances, accommodations for online participation can be made.
Yes
No
12. Are you willing to participate in at least three (3) community presentations locally with a partner from the cohort? *Please note that this is mandatory for all cohort participants. Stipends will be provided for your time.
Yes
No
Submit Application
Should be Empty: