Non-Profit Institute Application

Non-Profit Institute Application
Wake County Public Health, in collaboration with the Wake County Office of Organizational Excellence and community partners, is proud to launch the Wake County Non-Profit Institute: Partnering to Enhance Community Organizational Sustainability (PECOS). This program is designed to strengthen capacity, collaboration and sustainability of local community-based, faith-based and non-profit organizations. Through a structured five-month program, selected organizations will engage in targeted learning, receive technical assistance and participate in peer-driven knowledge exchange to enhance their ability to serve Wake County residents effectively.
Applicant Information
Please Note: All sections of this application must be completed unless explicitly marked as optional or if applicable. Incomplete applications may not be reviewed. Be sure to provide all requested information to ensure your proposal is considered. Provide justifications.

* Questions with asterisks are required.
Legal name of organization
Street Address

Street Address

Street Address Line 2

CityState

ZIP Code
Mailing Address (if different from above)

Street Address

Street Address Line 2

CityState

ZIP Code
What part of Wake County are you located in?
Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Organization's website and/or social media:
Identify the type of organization represented:
Has your organization previously received funding from HealthLit4Wake?
Organizational Structure and Governance
Does your organization have a 501(c)(3) status?
Describe your mission, services, populations served and experience with capacity building.
What is your mission statement?
Describe your organization’s leadership structure? Does your organization have a board of directors or advisory council?
What internal capacity do you have to support participation in a 5-month structured capacity building program?
How does your organization build and maintain strong relationships with the communities you serve? Provide examples of how community input shapes your work.
Will your organization commit to attending all monthly sessions (virtual/in-person) ?
Will your organization participate in the post-program consultation (up to five hours of consulting)?
Does your organization need translation services for monthly sessions?
The Wake County Non-profit Institute requires a $100 participation fee, which covers up to three (3) staff members. Is your organization able to pay this fee?
Evaluation and Technical Assistance Needs
How will your organization measure progress in the three capacity building areas chosen by cohort?
How do you currently evaluate program effectiveness and impact?
Who will be your point of contact for evaluation and the 3- and 6-month follow up? (Include: name, title, email and phone number)
Program Participant (max 3 per organization)
Participant #1

First NameLast Name
Title
Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Email
example@example.com
Participant #2

First NameLast Name
Title
Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Email
example@example.com
Participant #3

First NameLast Name
Title
Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Email
example@example.com
Please list any questions or concerns you have about the program:
This five-month program includes monthly meetings designed to support your growth. To help us schedule these sessions, please select the five day-and-time options that work best for your organization from the choices below. We will schedule sessions based on the options that receive the most responses.
Please verify that you are human
Should be Empty:

Non-Profit Institute Application

Applicant Information

Organizational Structure and Governance

Evaluation and Technical Assistance Needs

Program Participant (max 3 per organization)