Organization Application
Your Personal Details
Details for the person completing this application whether on behalf of themselves or an organization. We will use this info to follow up with you after you complete the application.
Your Full name
*
Email
*
Phone
*
Your Role / Position
*
How would you describe yourself? Check all that apply.
*
Student
Working Professional
Community Leader/Advocate/Organizer
Volunteer
Retired Professional
Social Entrepreneur
Wellness Professional/Service Provider
Nonprofit Employee
Discount / Referral Code
Website Profile
If you become a member, the fields in this section will populate a public profile for your organization on our website. You can see an example here: https://www.4socialchange.org/c4sc-members/ If you do not have an organization, this section can be about you.
Company/Organization Name
*
Company Website
*
General Organization Email
*
admin@example.com, this email will be displayed on your profile on our website.
General Organization Phone Number
*
-
Area Code
Phone Number
A short description of your organization for our website
*
Your logo
Smaller than 10MB and at least 400px by 400px
Pick the issue area that best describes your organization's focus.
*
Animal Rights
Arts & Culture
Civic Engagement
Civil Society
Community Development
Disabilities
Diversity
Education
Employment
Environment
Equality & Human Rights
Food
Health & Well-Being
Housing
International Development
LGBTQ
Poverty
Rural Issues
Social Justice
Spirituality
Sports & Recreation
Transportation
Urban Issues
Veterans
Volunteerism
None of the above apply to my organization
Organizational Details
What level of engagement are you interested in? (link to descriptions below)
*
Private Office: Starting at $1,000 depending on availability
Shared Office: $435 per desk in an office with 2 - 3 other members
Coworking: $160
Mailbox: $60
I'm not sure yet
See our current membership plans
here
.
Why is your organization interested in membership at C4SC?
*
What is your organization's geographic scope?
Local (neighborhood/city level)
Regional (multi-city or multi-state)
National (the entire country)
International (beyond the U.S.)
Annual Budget
*
Choose one
$0- $99.999
$100.000 - $249.999
$250.000 - $499.999
$500.000 +
Year Organization Founded
*
Number of local employees
*
What is your organization's mission?
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How does your organization make a social impact?
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How could your organization contribute to our community (e.g. with support services such as consulting, training, workshops, connections , etc.)
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Do you want to offer a discount/promotion to other members? If so, what? (your answer will be visible to other members)
How did you hear about us?
*
Street Address (Billing or Secondary Organization Address)
*
City
*
State
*
Zipcode
*
Are you interested in any of the following fee-based services? If so, we will contact you with more information about cost and scope of the services. (Check all that apply)
*
Bookkeeping
Grant Writing
Marketing
Are you applying because you're interested in being a fiscal sponsored project? Please complete the fiscal sponsorship application once you submit this membership application.
*
Yes
No
Are there any other support services (high priority) that your organization needs? Although we may not offer the services you need, we pride ourselves on making valuable referrals and connections for our members.
*
Requested Start Date
*
-
Month
-
Day
Year
Date
Terms and Conditions
I acknowledge that by becoming a Center for Social Change member I will get weekly email updates.
*
Yes
Submit
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