Name *

First Name

Last Name

Please tick the statements that apply to you

I am just beginning my philanthropy

I do not yet have a philanthropy strategy

I have a philanthropy strategy, but want to pivot and/or increase my impact

I already give and am keen to learn more about innovations in global health

I have been giving for some time and want to further develop my leadership and strategic skills and expertise

I consider myself to be an experienced philanthropist

I am curious to learn and committed to engaging with peers

I am committed to make time for this programme (6 days in London and 5 days in the global South) during 2024/5

I am committed to giving an additional £500K to global health programme/s of my choice over the next 5 years

I am willing to cover my travel costs and contribute towards the costs of my visit to East Africa