Community Partner Membership Application
The Dallas Legacy Mission (DLM) Coalition of Hispanic Nonprofits of North Texas brings together nonprofit organizations, community partners, and mission-aligned businesses to strengthen collaboration, leadership development, and collective regional impact.Community Partner Membership includes one designated Individual Leadership Member who serves as the organization’s primary Coalition representative. Additional individuals must apply separately through the Individual Membership Application.
Date
*
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Month
-
Day
Year
Date
Community Partner Organization Name
*
Name
*
First Name
Last Name
Job title:
*
EX: Executive Director
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Office Number
*
Cellular Number
*
Work Number
Website
*
Add Additional Members
Please List up to Four additional Individual Members. Please enter their Full Name, Email address and Phone Number.
1. Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
2. Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
3. Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
4. Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Type of Business
*
EX: Nonprofit - 501c3, 501c4, LLC, Sole Proprietorship etc.
EIN#
*
Yearly budget:
*
below $50,000
above $150,000
above $250,000
above $500,000
Geographic Area your Organization serves
*
Organizational Needs
Topics you are interested in learning about:
Are you interested in serving on a committee?
*
Yes
No
Not at this time
Are you interested in assisting with planning events?
*
Yes
No
Not at this time
Please Share your Organization Logo
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As a member of The Dallas Legacy Mission Coalition of Hispanic Nonprofits of North Texas - TDLMCHNNT - You agree that you grant us permission to share your name, organization information, logo, photographs on social media, newsletter, and website.
*
Yes
No
By signing below you understand that this application is not a guarantee of acceptance into TDLMCHNNT. There is no membership fee. We reserve the right to update and change the policies of TDLMCHNNT as we deem necessary; with proper notice given to all parties before they go into effect. You also agree and understand that your nonprofit organization must maintain its good standing with the IRS.
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Signature Date
*
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Month
-
Day
Year
Date
Apply for Membership
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