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Application: Think Tank Leadership Training 2012
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1.
Please provide the following information:
(Required.)
Name:
*
Organization:
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Address
*
Web Address
City/Town:
*
State/Province:
ZIP/Postal Code:
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Country:
*
Email Address:
*
*
2.
Position within Organization
(Required.)
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3.
Year Organization was Founded
(Required.)
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4.
Organization Mission
(Required.)
5.
Describe your organization's staff
Number
Full Time
None
One
2-5
6-9
10+
Part Time
None
One
2-5
6-9
10+
Volunteer
None
One
2-5
6-9
10+
Offer any additional comments here
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6.
Select the option that best describes your organization's office space
(Required.)
Home office
Rented office space
Owned office space
Other (please specify)
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7.
Annual Budget of your organization in USD
(Required.)
8.
Do you have donors in the following fields? If so, approximately how many?
Number
Individual
0
1-5
6-9
10+
Foundation
0
1-5
6-9
10+
Corporate
0
1-5
6-9
10+
Government
0
1-5
6-9
10+
Other (please specify)
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9.
Briefly list the major programs and activities of your organization
(Required.)
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10.
What is your professional background and motivation for working for a think tank?
(Required.)
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11.
Please list any Atlas programs or events you have participated in. If possible, include month/year.
(Required.)
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12.
On a scale of 1-5 please rank your proficiency in English
(Required.)
Poor
Average
Fluent speaking
Fluent speaking & written
Native tongue
Please fill out the following Needs Assessment.
13.
Please indicate your needs in a particular subject by selecting the appropriate option
Of Great Need
Of Some Need
Of No Need
N/A
Develop a Mission/Vision
Of Great Need
Of Some Need
Of No Need
N/A
Develop a Strategic Plan
Of Great Need
Of Some Need
Of No Need
N/A
Create a fundraising strategy
Of Great Need
Of Some Need
Of No Need
N/A
Identify, research and solicit donors
Of Great Need
Of Some Need
Of No Need
N/A
Develop or enhance your "sales pitch"
Of Great Need
Of Some Need
Of No Need
N/A
Maintain relations with donors & stakeholders
Of Great Need
Of Some Need
Of No Need
N/A
Develop and work with a board of directors
Of Great Need
Of Some Need
Of No Need
N/A
Create a marketing strategy
Of Great Need
Of Some Need
Of No Need
N/A
Strategically brand and position your institute
Of Great Need
Of Some Need
Of No Need
N/A
Identify and engage your target audience
Of Great Need
Of Some Need
Of No Need
N/A
Attract "traditional" media (newspapers, tv, radio)
Of Great Need
Of Some Need
Of No Need
N/A
Use online communication
Of Great Need
Of Some Need
Of No Need
N/A
Develop a targeted research agenda
Of Great Need
Of Some Need
Of No Need
N/A
Please provide other areas of need
To complete your application, please submit a photo and resume to cindy.cerquitella@atlasnetwork.org by July 20th. These materials are required.
Please contact Cindy Cerquitella (cindy.cerquitella@atlasnetwork.org) with any questions or concerns
