Pathway to a Healthy Organization Application

Name*

First Last

Professional Title*

Email*

Phone*

Your Organization

Name of your organization*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Does your organization do work or provide services within Obici's Footprint?*

Click here to view Obici’s Footprint

Yes
No

Mission*

Major programs and services provided*

Annual operating budget*

Number of board members*

Number of paid staff*

Experience

Number of years in the nonprofit sector*

Number of years in current position*

Number of years with current organization*

Why You Are Interested

Why are you interested in Group Strategic Planning?*

The program requires participation from a team of 2-4 individuals and at least 1 board member. Name the individuals and board member who will participate and provide their email addresses*

Agreement*

I have reviewed the expectations to participate and am able to meet them.*

Group Strategic Planning Application

Your Organization

Experience

Why You Are Interested