UA - 501C3 Small Group - Talk With Ty

1
You understand that the purpose of this form is to schedule a phone call to speak with Ty Boone. This form is NOT for customer service related issues such as membership support, technical support, or billing.* This field is required.
Yes, I understand.
2
What Email Address is Associated With Your Purchase?* This field is required.What email address did you use to join? Please double check the accuracy of your email address. If we are unable to verify your email address you may not be able to schedule an appointment.
example@example.com
Confirm Email
3
Your NameWhat is your name?
First Name
Last Name
4
Organization NameWhat is the name of your organization?
5
Phone Number
Area Code
Phone Number
6
Describe your service population (age, race, ethnicity, gender, SES, geographic location, special needs, etc.)
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Ok
7
Have you received state incorporation approval?
Yes
No
Pending
8
Have you been recognized as a nonprofit 501c3?
Yes
No
Pending
Not sure
9
Have you received a grant (of any kind) in the past?
Yes
No
Not sure
10
Describe your funding needs in your own words. If funding is needed for a specific event, please include event date(s) and purpose of event(s)
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Small
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Ok
11
What do you currently do to raise funds (select all that apply)
Host Fundraising Events
Ask for Donations
Write/Submit Grant Applications (requests for funding)
Sell products or Services
Secure Sponsorship
Paid Membership Program
Other
Not Currently Raising Funds
12
Which best describes the service(s) you are seeking? Select all that apply.
State Incorporation
501c3/1023 Formation
Grant Writing
Fundraising
Training/Development
Sponsorship Search/Solicitation
Strategic Planning/ Funding Plan Development
Nonprofit Success Coaching
Other Writing
Program Design / Development
Program Evaluation
Organizational Management
Other (not listed) tailored service
13
What Would You Like To Discuss?* This field is required.Please be clear and concise. If you have files that you would like to share you will be prompted to upload them on the next page.
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Small
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Ok
14
Do You Have Files to Share?Please use this area to upload files related to your question. Please note that membership does not automatically include complex or extensive document review or proposal review.
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Select files to upload
Max. file size: 10.6MB
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Cancelof
15
You understand that as a program benefit, the required $25 refundable appointment deposit is waived. However, if you are a no show for your appointment or if you do not provide 24 hours notice of cancellation, you may be required to provide a refundable deposit on future appointments.* This field is required.
Yes, I understand and agree.
16
You will now be redirected to an appointment calendar where you will be prompted to select a date & time to speak with Ty Boone. You understand that your appointment is not set until you complete the next step.* This field is required.
Yes, I understand.
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