Interim Institute Network Application

Interim Management
Institute

‍

2025 Session Dates ; Noon - 2:00 via Zoom:
‍
SPRING:

Information Session:
March 7; Noon via Zoom
‍
Spring Institute Sessions:
April 4 – April 18 – May 2 – May 16 – May 30 – June 6
‍
Cost
Upon acceptance into the Institute, you will receive an invoice.
‍

FALL:

Information Session:
September 5; Noon via Zoom
‍
Fall Institute Sessions:
October 3 - October 17 - October 31 - November 7 - November 21 - December 5

Cost
Upon acceptance into the Institute, you will receive an invoice.

First

FirstFirst Name

LastLast Name

Email Address

Organization

Address

Mailing Address

FirstAddress Line 2

LastCity

FirstState

LastZip Code

FirstWebsite

LastContact Number

If you’ve had no leadership experience with nonprofit organizations, please briefly describe the abilities and experience you have that is relevant to serving as a Nonprofit Executive leader:

Description of nonprofit clients currently served:

Describe leadership roles in nonprofits with whom you’ve been associated and approximate years of service in each: These can be CEO, COO, Other senior staff or Board officers, Volunteer project managers, capital campaign committee chairs, etc.:

Describe and list the most significant change initiatives/projects/turnarounds, or work situations you have led and your role in each. (Just the top 2 or 3 such initiatives)

What interests you about serving as a Nonprofit Interim Executive?

Please select which institute you are registering for:Spring Fall

Would you be able to attend, virtually, all six sessions as currently scheduled for the Intentional Interim Institute:YesNo

Other information:

At the Institute’s conclusion and upon successfully graduating (attending all six sessions, completing assignments, and final interview, and meeting professional standards) participants will receive a digital certificate and a digital certification badge. Graduates will also receive an invitation to become a member of Interim Management Network.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Interim ManagementInstitute

Interim Management
Institute