Name * First Name Last Name Email * Phone * Country (###) ### #### Select GMT - Greenwich Mean Time (GMT) UTC - Universal Coordinated Time (GMT) ECT - European Central Time (GMT+1:00) EET - Eastern European Time (GMT+2:00) ART - (Arabic) Egypt Standard Time (GMT+2:00) EAT - Eastern African Time (GMT+3:00) MET - Middle East Time (GMT+3:30) NET - Near East Time (GMT+4:00) PLT - Pakistan Lahore Time (GMT+5:00) IST - India Standard Time (GMT+5:30) BST - Bangladesh Standard Time (GMT+6:00) VST - Vietnam Standard Time (GMT+7:00) CTT - China Taiwan Time (GMT+8:00) JST - Japan Standard Time (GMT+9:00) ACT - Australia Central Time (GMT+9:30) AET - Australia Eastern Time (GMT+10:00) SST - Solomon Standard Time (GMT+11:00) NST - New Zealand Standard Time (GMT+12:00) MIT - Midway Islands Time (GMT-11:00) HST - Hawaii Standard Time (GMT-10:00) AST - Alaska Standard Time (GMT-9:00) PST - Pacific Standard Time (GMT-8:00) PNT - Phoenix Standard Time (GMT-7:00) MST - Mountain Standard Time (GMT-7:00) CST - Central Standard Time (GMT-6:00) EST - Eastern Standard Time (GMT-5:00) IET - Indiana Eastern Standard Time (GMT-5:00) PRT - Puerto Rico and US Virgin Islands Time (GMT-4:00) CNT - Canada Newfoundland Time (GMT-3:30) AGT - Argentina Standard Time (GMT-3:00) BET - Brazil Eastern Time (GMT-3:00) CAT - Central African Time (GMT-1:00) We’ve designed this for Ultra High Net Worth (UHNW) donors and families - can you tell us a bit about the scale of giving and family resources? * We ask this because we are trying to build a cohort with shared experiences and circumstances to best engender learning. What are the issues you are most passionate about? What are the ways you think are best to move society forward? * Where are you from? Where are you based? Tell us about the geography of you, your history, and your philanthropy. * Is there anything else that you think we should know about you or your philanthropy? How did you hear about this program? * Thank you! Your form has been submitted. A member of the Ktisis team will review the information provided and reach out within a week with next steps.