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Become a Catalyst
2025 Catalyst Application
Applications due November
The 2025 Class will be announced in December 2024.
Application - 2025
Step
1
of
8
- Statistical Use
12%
For Statistical Use Only:
Date of Birth
*
Month
Day
Year
Ethnicity
*
How do you identify?
*
Female
Male
Transgender female
Transgender male
Gender variant / Non-conforming
Prefer not to answer
Is this your first time applying to be a Catalyst?
*
Yes
No
What other year(s) have you applied?
*
How long have you lived in Tallahassee?
*
Personal
Name
*
First
Last
Preferred Name
First
Last
Mail Preference
*
Home
Business
Address
*
Street Address
City
ZIP Code
Preferred E-Mail Address
*
For administrative use for the KCCI Directory:
Please submit a high-resolution headshot. This can be a casual or professional photo. They are used in the KCCI directory and during the KCCI training.
Upload Headshot
Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB.
Employment
Present Employer
*
Hire Date
*
MM slash DD slash YYYY
Email Address
*
Phone Number
*
Briefly describe your job responsibilities.
*
Education
Education (Select all that apply)
*
High School Graduate
Some College
College Graduate, Degree obtained
Graduate School, Degree obtained
College Degree
*
Graduate Degree
*
General Information
Why do you want to join KCCI?
*
What special skills or attributes will you bring to the KCCI Community Catalyst team?
*
What recommendations or ideas do you have for further enhancing downtown Tallahassee? What ideas do you have for activating Bicentennial Square and engaging the community as each enhancement is installed in 2025?
*
What is your most important accomplishment in the community thus far?
*
Can you dedicate a minimum of an average of 2 hours per week to this volunteer initiative to help insure its success?
*
Yes
No
Anything else we should know?
Community Involvement
Please list, in order of importance to you, three community, civic, religious, social, athletic or other organizations for which you are or have been a leader in your community.
Involvement
*
Organization
Dates of Membership
Leadership Role
References
Reference
*
Name: Address: Title: Phone Number: Email Address:
Include your reference's name, address, title, contact number, and email address.
Reference 2
*
Name: Address: Title: Phone Number: Email Address:
Include your reference's name, address, title, contact number, and email address.
Reference 3
*
Name: Address: Title: Phone Number: Email Address:
Include your reference's name, address, title, contact number, and email address.
Attendance at the KCCI two-day training is required to participate in the program.
*
Are you able to attend the KCCI two-day Community Catalyst training all day on January 29 and 30?
I am available to attend
If you are not selected as a community catalyst, would you like to be contacted for future involvement with KCCI projects?
*
Yes
No
How did you hear about the KCCI application process?
*
Word of mouth
Social media
Speaking event
Newsletter
Other
