Project Liberate

Project Liberate is a 6-month leadership program that focuses on three-key individual areas. We invite you to apply for one of the three cohort programs: Professional Development: personal professional and career development Entrepreneurship: small-business development Non-profit leadership: organizational and professional development centering non-profit leadership, strategic, and community development

Project Liberate Application

Name(Required)

First (chosen/preferred) Last

Valid Email Address(Required)

Contact Phone #(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

County(Required)

Pronouns(Required)

She / Her / Hers

He / Him / His

They / Them / Theirs

Xe/ Xym / Xyr

Other

What is your race/ethinicity?(Required)

African American / Black

Afro-Hispanic / Latinx

Hispanic / Latinx

Native American / Indigenous

Asian

Hawaiian / Pacific Islander

Date of Birth(Required)

Month

Day

Year

What is your sexual orientation?(Required)

Gay / Same Gender Loving

Bisexual

Queer

Asexual

Heterosexual

What is your gender identity?(Required)

Transgender woman

Cisgender woman (assigned female at birth)

Cisgender man (assigned male at birth)

Gender Non-Conforming

Nonbinary

Intersex

Other

What do you rely on as PRIMARY income in your household?(Required)

Self-employment (full-time)

Self-employment (part-time)

Spouse/Partner Income

Full-time job

Part-time job

Savings/investments

Alimony/Child Support

Public Assistance

Unemployment

Social Security

Disability

Other

How did you hear about Project Liberate?(Required)

Facebook

Instagram

Twitter

Website

Referrals

Outreach

The Normal Anomaly Team

Other

What is your desired industry/field?(Required)

Identify your level of experience in entrepreneurship.(Required)

Tell us more about your entrepreneurship experience, if applicable

Identify your level of experience in non-profit leadership.(Required)

Tell us more about your non-profit leadership experience, if applicable

Please provide a brief summary of your resume and work experience.(Required)

What skills are you hoping to learn through Project Liberate? Check all that apply.(Required)

Interview Skills

Leadership Skills

Professional Development

Entrepreneurship / Small Business Development

Business Product / Service Development

Financial Planning / Resources

Non-profit management

Program Design

Program Implementation

Program Monitoring

Work Planning

Other

What is your availability for cohort sessions? Check all that apply(Required)

Early afternoon

Late afternoon

Evening

Saturday morning

Saturday early afternoon

Saturday late afternoon

Early in the week (Monday-Tuesday)

Mid-week (Wednesday)

Late Week (Thursday- Friday)

What are you hoping to gain through Project Liberate?(Required)

Describe 2 short-term professional goals you plan to complete through Project Liberate?(Required)

Describe one long term goal you have in completing Project Liberate?(Required)

Anything else you would like to add in your application?

Agreement

I understand that the Project Liberate is 6 months long; from November to May, with a minimum 2 sessions a month. If I am selected to be a participant of the Project Liberate Leadership Program, I understand that my submission of this application is my commitment to completing the program and being fully committed to being available and present for all sessions.

I agree and understand.

Anti-SPAM: What is 6 + 4?(Required)

Phone

This field is for validation purposes and should be left unchanged.

About Us

The Normal Anomaly Initiative, Inc.
10039 Bissonnet Street, Suite 107,
Houston, Texas 77036

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Twitter:@_NormalAnomaly

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