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Thank you for your interest in the 2018 Breakfast Club! Please fill out the following application, as well as our Marketplace form. Applications are due March 7, 2018, and members will be notified no later than March 20.

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* 1. First Name: 

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* 2. Last Name:

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* 3. Email:

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* 4. Job Title:

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* 5. Organization Name:

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* 6. Address:

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* 7. Organization's Website:

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* 8. Are you currently working as a full time, paid nonprofit development staff person?

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* 9. How many staff are in your development department, including yourself?

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* 10. What is the size of your organization's budget?

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* 11. How many years of experience do you have working in development?

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* 12. Does 80% or more of your job pertain to development?

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* 13. Are you the most senior development staff member in your organization?

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* 14. Would your work schedule allow you to attend Breakfast Club meetings on a regular basis? (The Club meets on Fridays, 9:30-11:00am; meeting dates are 4/6, 5/4, 6/1, 9/7, 10/5, 11/2.)

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* 15. How did you hear about the Breakfast Club?

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* 16. What do you expect to gain from joining the Breakfast Club?

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* 17. What topics would you most like to discuss with your colleagues? Check all that apply:

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* 18. In addition to completing this online application, have you registered and provided payment information at Foundation Center's Marketplace? In order to be eligible for the 2018 Breakfast Club, you must register at Marketplace and submit this online application by March 7, 2018. Your credit card will not be charged until you are accepted.

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