Interest in Exec Ed - Center for High Impact Philanthropy

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Application for High Impact Philanthropy Academy

NameYour Full Name

Your Location (City, State, Country of Residence):

Please complete the following application. A member of our admissions team will review your submission and contact you within 4 weeks. If you are an appropriate candidate for this program, the next step will be to schedule an interview to provide more context on the program and learn more about you as we build the upcoming cohort.

Emaila valid email

Do you currently have decision-making authority over how philanthropic resources are allocated?

YesNo

If yes, in what ways?

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If you are affiliated with one or more philanthropic organizations, please select all that apply and provide names for each of the organizations:

Private FoundationPublic Grantmaking EntityDonor Advised FundPrivate FunderCorporate FoundationOther

Please specify

Names of the organizations with which you are affiliated:

What role(s) do you play within the organization(s) you are affiliated with? (Select all that apply)

Individual DonorCEO/Executive DirectorPaid staff other than CEOPrincipal/FounderFamily TrusteeNon-family TrusteeOther

Please specify

Are you interested in attending this with others connected to your organization?

YesNo

Please provide additional background on your philanthropy (e.g., your experience with giving, nonprofit board positions and other fiduciary responsibilities within an organization, and other philanthropy-specific professional development trainings/coursework) (300 words max):

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What are your learning goals for this program and why (250 words max)?

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Please list some issue areas and geographies you currently fund or are interested in funding:

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Who (if anyone) referred you to High Impact Philanthropy Academy?

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