pACT Non-Profit Segment

1
This is the section for the Non-Profit Organizations
2
Name of Representative
First Name
Last Name
3
Organization Name
4
Web Link
5
Contact Us Link
6
Other Important Link
7
Position in the Organization
8
In what State Your Group Registered
9
Email
example@example.com
10
Representative Phone Number
Please enter a valid phone number.
11
Organization Phone Number
Please enter a valid phone number.
12
Back-Up Name, Number, Position in Organization
13
What is the Mission Statement?
Huge
Large
Normal
Small
Ok
Ok
14
Please give us the quote and author of that you aim to live your life by.
Huge
Large
Normal
Small
Ok
Ok
15
States You Can Operate In
16
Important Points to Make in the Interview
Huge
Large
Normal
Small
Ok
Ok
17
Upcoming Events to Talk AboutAs Much Detail as you Can Provide:
18
We are going to give you 3 to 4 minutes uninterupted time to tell people about what you do, why you do it and what they need you to help you with. This is your time. Please, keep it very family friendly, but explain your why. Make sure you hit anything important to you personally. And please, make mention of how Community Pay it Forward Program can help you to accomplish what you aim to acchieve.
19
Please pick Dates you are AvailableFirst Come, First asigned to availability
All Shows are Wednesday's from 7 PM EST- 5 PM MST for 1 hour
Year
Month
Day
Should be Empty: