APPLY NOW - Johns Hopkins Medicine Philanthropy Institute

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Thank you for your interest in the JHMPI Summer Institute. Applications are reviewed by the admissions committee and approved on a rolling basis. You will be notified of our decision within two weeks of your application submission. For assistance, please contact Kathy White: whiteka@jhmi.edu.

Your Information

Salutation

First Name

Middle Initial

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

Country

Email Address

Phone Number

Type

Phone Number

Type

Institution

How did you hear about us?

What are the principal reason(s) for your interest in the Johns Hopkins Medicine Philanthropy Institute (JHMPI)?

What “take-aways,” either specific or general, do you hope to gain from participating in the JHMPI Summer Institute?

Applicant Information

Current position (please include title and a brief description):

To whom do you report (please include title)?

Years in current position:

Prior relevant positions:

Conferences and other training programs you have attended in the past five years:

Organizational Information

What type of organization does your fundraising office support (e.g., community hospital, hospital/health system)?

How many gift officers and FTEs does your organization devote to medical development?

Over the past three years, what has been the average dollar amount your organization has raised per year?

Please indicate the size of your fundraising organization’s annual budget:

$1 million to $1.9 million

$2 million to $4.9 million

$5 million to $9.9 million

$10 million or more

Desired Impact

What do you see as your organization’s principal challenge(s)?

What is your highest priority professional goal for the next five years? Please briefly explain.

What specific knowledge and skills do you need to make progress on this goal?

What specific knowledge and skills do you need to make progress on this goal? (Examples of specific areas can be relationships with faculty, development and maintenance of an internal culture, self-knowledge of how you manage people and situations – but please think expansively.)

What, if anything, are you already doing to make progress in this/these areas

Contact Information

Administrative Coordinator Name

Administrative Coordinator Phone Number

Administrative Coordinator Email Address