Please complete the following which will be used as part of the nomination process for the 2023 Fundraising Leadership Academy cohort. Submitting this participant interest form does not mean you have been accepted into the program which will run from March to June, 2023. The majority of the program cost is underwritten by local companies and foundations, leaving the nonprofit portion at $750.00. Scholarships are available if there is a financial barrier.

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* 1. Your organization's name

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* 2. Your organization's mission

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* 3. What is your organization's overall budget size?

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* 4. For how many years has your organization existed?

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* 5. I certify that we are a registered 501(c)3

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* 6. Your nominated participant's name

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* 7. Your nominated participant's title

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* 8. Nominated participant's email address

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* 9. Nominated participant's cell phone number

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* 10. How did you hear about the Fundraising Leadership Academy?

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* 11. If your organization's budget is one million dollars or less and you would like to apply for a scholarship toward the program cost of $750.00 per nonprofit, please note that need here.

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* 12. I am excited for my organization to be considered for the program and, if selected, promise to support my participant with the time and resources they need to be successful. I will also attend the leadership session and ensure our Board Chair does as well.

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* 13. Anything else you’d like to share about why this would be a good opportunity for your organization and/or participant?

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