AHP Madison - Executive Leadership Pre-Track Survey

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* 1. Please provide the below information:

Name

Organization

Current title

Email Address

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* 2. Please provide details about your reporting structure below. Who do you report to (CEO/EVP/Board, etc.)?

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* 3. Please describe your current organization in a few sentences (e.g. size of foundation staff, part of a system or standalone entity, total annual fundraising revenue, etc.).

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* 4. Please provide a description of your current role and your tenure.

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* 5. What do you hope to gain by participating in this learning experience?

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* 6. What are your healthcare philanthropy superpowers (areas in which are you most proficient and could offer insight to your fellow participants)?