First & Last Name
Preferred Email
Job Title
Organization
Address:
City:
State:
Zip:
Work Phone
Cell Phone
Years of Experience in Fundraising
Current Budget Size
Agency Type Arts/CulturalHealth/Human ServicesHigher EducationOther
Number of Employees in Development/Advancement Department 1-34-78-1010+
Please identify your fundraising experiences: Annual GivingBoard DevelopmentCapital CampaignsCommunications/Public RelationsCorporate/Foundation RelationsDirect MailDonor Recognition/StewardshipGrants/Proposal WritingMajor Gifts/Moves ManagementMarketingPlanned GivingSpecial EventsSponsorshipStrategic PlanningVolunteer ManagementOther (please list)
If other: please list
What do you hope to gain from or give to this experience?
Please list your greatest strengths as a fundraiser:
Do you agree to the Memorandum of Commitment? YesNo
