BUILD Application
Name
*
First Name
Last Name
Organization Name
*
Job Title
*
Email
*
example@example.com
EIN number
*
Are you the founder?
*
Yes
No
Work Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone Number
*
Please enter a valid phone number.
Cell Phone Number
*
Please enter a valid phone number.
What is the date of your 501 (c)(3) letter of designation?
*
-
Month
-
Day
Year
Date
Back
Next
Give a one sentence description of what your organization does
*
How Did You Hear About BUILD
*
LinkedIn
Email Campaign
Another Participant
Recruiter for NLI
NLI / OneSource Center Website
Other
Age
*
18-24
25-39
40-55
over 55
Prefer not to answer
Gender
*
Female
Male
Transgender
Non-binary
Prefer not to answer
Race
*
American Indian or Alaska Native
Asian
Black/African American
Native Hawaiian or Other Pacific Islander
White
Multi-Racial
Prefer not to answer
Other
Ethnicity
*
Hispanic or Latino
Not Hispanic or Latino
Prefer not to answer
Please confirm that you are familiar with all of the requirements of the program listed below: (check all)
*
Payment of Tuition is required prior to the start of the first class.
Photo Release -- Nonprofit Leadership Institute / OneSource Center for Nonprofit Excellence (OneSource Center) may be taking pictures and/or videos of you (Images) at the session for which you are registering and you consent to the use, distribution and publishing of these Images in any medium or format and by any means further to OneSource Center carrying out its purposes. The complete OneSource Center photo release is located here: www.OneSourceCenter.org/photo-release
Thank you for your interest in the BUILD program. Someone will follow-up with you soon.
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