NOT FOR PROFIT APPLICATION

APPLICATION FOR ADMISSION
NonProfit Program
Harvard Business School Club of Buffalo

You must enter a name, address, and phone number.

Name:
Nickname (for name card):
Home Address
Street:
City:
State: Zip:
Phone: Email:
Company Name
Street:
City:
State: Zip:
Phone: Email:
All material will be sent to the home address unless you prefer otherwise:

Please send to my organization address

Please do not send to my organization address
Highest Degree:
Recent Courses or Seminars and Year Taken:
Have you taken a course utilizing the Case Method?
For Profit Years of Experience:
Not For Profit Years of Experience:
Current Job Title:
Do you supervise others?: Yes No
Approximate size of organization:
    Number of people:
    Revenues:
The mission statement for your Not For Profit organization:
How did you learn of the Management Development Program?
Buffalo News Business First Art Voice
Prior Students Moderator
Other: