APPLY HERE : CDP Executive Membership Application

Application for Executive Membership
Community Development Professionals

332 Dayton Avenue, Hamilton, OH 45011 | (513) 858-1738 or (866) 925-0237
Why are you interested in Executive Membership with CDP?
Date*

MonthDayYear
Date
Name of Organization*
Contact Person*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Contact Person Affiliation with Organization

StaffBoard MemberOther
Organization Information

NOTE: For consideration of Executive Membership, please forward your current budget, current Board roster, recent financial statement, brochure (if you have one), tax-exempt letter and organizational chart. Please see the bottom of this form.*
Organization Address*

Street Address or PO Box

Physical Address (if different from above:

CityState / Province

Postal / Zip Code
Organization Phone Number
If different from Contact Person.
Organization Email
If different from Contact Person.
Does the Organization have a website?*

In ProcessNoYes (If yes, the web address is):
Is the Organization a 501(c)(3) nonprofit?*

In ProcessNoYes (If yes, enter year of establishment.)
The Organization's annual budget?*
Number of Board Members?*
Number of individuals served by the Organization per month/year?*
What is the geographic service area of the Organization?*
Programs & Services
Please select from below what best describes the Organization's area of expertise & service:*

Arts, Culture & HumanitiesEducationAnimal RelatedEnvironmental - Quality, Protection & BeautificationHealthcare - General & RehabilitativeHealthcare - Psychiatric DisorderHealthcare - Mental Health, Crisis InterventionHealthcare - Multipurpose Associations/Services Associated with Specific Diseases/DisordersHuman Services - Crime & Delinquency Prevention, Legal Administration, Legal ServicesHuman Services - Domestic ViolenceHuman Services - Employment/JobsHuman Services - Food, Nutrition, AgricultureHuman Services - Housing/ShelterHuman Services - Pregnancy CenterHuman Services - Prisoner Re-entryHuman Services - Public Safety, Disaster Preparedness & ReliefHuman Services - Recreation, Leisure, Sports, AthleticsHuman Services - Youth DevelopmentInternational Foreign AffairsPublic/Society Benefit - Civil Rights, Social Action, AdvocacyPublic/Society Benefit - Community Improvement/Capacity BuildingPublic/Society Benefit - Philanthropy, Voluntarism & FoundationsPublic/Society Benefit - Historic PreservationPublic/Society Benefit - Science & Technology Research Institutes/ServicesReligionOther
How did you hear about Community Development Professionals?*

BrochureChamber EventWebsiteSocial MediaConference/Trade ShowWord of Mouth/ReferralDirect MailNewspaperOther
Please indicate below other areas you are interested in receiving assistance:

Board Development/TrainingBookkeepingBrochure/Newsletter DevelopmentEvent Planning/CoordinationGrant Administration/Grant WritingImage DevelopmentNonprofit IncorporationOrganizational DevelopmentProgram DevelopmentResource DevelopmentStrategic PlanningWebsite DevelopmentOther
Documents needed: current budget, current Board roster, recent financial statement, brochure (if you have one), tax-exempt letter and organizational chart. Please see the bottom of this form.You may attach documents here or forward to info@communitydevelopmentprofessionals.com. Your information will be kept safe.

Cancelof
Should be Empty:

Application for Executive Membership

Community Development Professionals

Organization Information

Programs & Services