Form

Community Journalism Executive Training (CJET) Application Form
This information will be kept confidential and will only be utilized by the CJET faculty to evaluate the applications for admission into the program. By submitting this application you understand that there is no obligation to admit you or a representative of your organization in the program and that you recognize that it is the sole discretion of the CJET faculty as to whom will be invited to participate.
Name*
First Name Last Name
Please provide the name of your organization*
E-mail
So that we can get back to you
Phone number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

A: Questions about your organization:
Definition: What is it you are building? (140 character description)
Mission: Why are you doing this?
Stakeholders: For whom are you doing it?
Competition: Who else is occupying the space in your target community?
Goals: What do you hope to accomplish?
Objective: What kind of product or service do you need to create to meet these goals?
Why you: Why are you the best person (or best team) to pursue this mission and how are you equipped and/or qualified to succeed?
How will you sustain your organization to ensure the results you hope to achieve?
How long has your business been in operation?
Can you currently answer the following questions?
“We will solve________________________ (what) problem
for ______________(whom)
and provide___________________benefit
to___________________.
If we are successful, we will have accomplished this _______________
for _____________
and built a sustainable organization that looks like ______________."
B. Questions about your Business Model:
What are your revenue streams?
What percent is earned revenue from distribution or audience-based activities?
What percentage from membership levels or small donations?
What percentage from major donors/foundations?
If you have other revenue streams, please indicate what percentage they each represent.
What are your costs (burn rate)?
How much money are you spending each month (burn rate)?
Do you have a good sense of what your costs will look like over the next 24 months? [PLEASE ANSWER THE QUESTION HERE AND SUBMIT YOUR FINANCIALS AT THE END OF THIS APPLICATION]
What percentage of your cost/burn rate goes to: Content
Marketing/Revenue
Technology
General Admin
Your model
How long will the money your funders have committed carry you at your current burn rate?
What risk factors would hurt your ability to sustain your operations?
What contingency plans do you have?
What is your exit strategy (i.e. when will you have had enough)?
With what business areas do you feel like you need most help from this training program?
If you are selected to attend CJET, what do you hope to gain from your attendance?
Please upload your operating budget, including any projected revenue for the current fiscal year.
Upload File
Upload a File
You can upload any type of file. Max: 300 MB
Should be Empty:

Community Journalism Executive Training (CJET) Application Form

A: Questions about your organization:

Can you currently answer the following questions?

B. Questions about your Business Model:

What are your costs (burn rate)?

Your model

Please upload your operating budget, including any projected revenue for the current fiscal year.