Community Power Lab Application

Session Interest

Select all that apply. *

I'd like to participate in WR's Spring 2026 Community Power Labs I'd like to participate in WR's Fall 2026 Community Power Labs I'd like more information about the 2026 Community Power Labs

I am applying as… *

An Individual An Organization

Contact Information

Name *

Organization's Name

Address

City

State

ZIP Code

Phone Number *

Email *

Background Information

How did you hear about WR's Community Power Labs?

Do you work, live, or serve on the West Side of Chicago? Check all that apply.

Work Live Serve

If so, please explain your response.

What neighborhood(s) do you/your organization represent? Check all that apply.

Austin Garfield Park North Lawndale Humboldt Park Other

Please specify other neighborhood(s):

Do you/your organization partner with Westside Rising for functions or activities in the community? If so, please share specific examples of partnership.

Conditions of Participation

To successfully participate in and complete WR's Community Power Labs, attendees must agree to the following conditions. *

I commit to attend four (4) in-person sessions, one day per week for four consecutive weeks. Each session has a duration of 3 hours. I commit to engage with WR's Activation Hubs for an issue area of my interest once per month. I will arrive promptly at the designated time, prepared to engage with speakers and trainers. I will be cooperative with all facilitators, trainers, and subject matter experts. I understand that a materials fee of $35 per individual and $100 per organization is required. (Limited scholarships are available. Fee is not required at registration.)

Application Questions

Please answer each question in 100 words or less.

1. Tell us about you/your organization and the work you do in the community. *

2. Why is social justice, community organizing, and civic engagement important to you and the work you do? *

3. As an individual/organizational leader, share a highly challenging situation you've navigated. How did you address the issue, and what did you learn from the experience? *

4. As an individual/organizational leader, share an experience you are proud of. Briefly describe that situation and what you learned from it. *

5. How can participating in WR's Community Power Lab help support the development of your team and work? *

6. How many people from your organization will participate in the Power Lab series? (Up to 3)

7. Provide contact information for additional participants (name, phone number, and email for each).

Participant 1

Participant 2

Participant 3

Preferred Day & Time

Please select your preferred day and time for the Spring Power Lab sessions. Note: We will finalize the day and time two weeks prior to the start of the cohort.

Wednesdays, 12:00 – 3:00 pm Wednesdays, 4:00 – 7:00 pm Thursdays, 12:00 – 3:00 pm Thursdays, 4:00 – 7:00 pm Other

Please share your suggestions:

Referral

Who else should participate in the WR Community Power Labs?

Signature

Type your name to sign this application. * I, _______________, confirm that the information provided in this application is correct and true to the best of my knowledge.