Skip to content
Application: Think Tank MBA 2012
2.
*
1.
Please provide the following information:
(Required.)
Name:
*
Organization:
*
Address 1:
*
Address 2:
City/Town:
*
State/Province:
ZIP/Postal Code:
*
Country:
*
Email Address:
*
*
2.
Position within organization?
(Required.)
*
3.
Organization Website
(Required.)
*
4.
Year Founded
(Required.)
*
5.
Organization Mission
(Required.)
6.
Staff at this organization are...
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
*
7.
Select the option that best describes your organization
(Required.)
Home office
Rented office space
Owned office space
Other (please specify)
*
8.
Annual Budget of your institute in USD
(Required.)
9.
Do you have donors in the following fields? If so, 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)
*
10.
Briefly list the major programs and activities of your organization
(Required.)
*
11.
Please provide 3 strengths and 3 weaknesses of your organization
(Required.)
*
12.
In 5 years, How do you see your organization making an impact in your country or region? What steps does your institute plan to take in order to accomplish that vision?
(Required.)
*
13.
What are your long term professional goals? How long do you plan to stay with your organization?
(Required.)
*
14.
Please list any Atlas programs or events you have participated in, if possible, include month/year.
(Required.)
*
15.
Please discuss how your current position adds value to your organization's mission.
(Required.)
*
16.
What skills and experience will you bring to the Think Tank MBA program?
(Required.)
*
17.
As part of the Think Tank MBA you will create a detailed strategic plan. How will this benefit you and your organization?
(Required.)