TCRA Organizational Membership Application

TRAVIS COUNTY RECOVERY ALLIANCE

ORGANIZATIONAL MEMBERSHIP APPLICATION
Membership Qualifications

501(c)(3) organizations may participate in TCRA-LTRG by serving on committees or contributing funding or resources. Organizations less than a year old must also complete a background check on the organization's Principals.

For-profit businesses can support recovery efforts by offering resources or services to survivors through the form below.

Individuals must participate through the Community Liaison Committee and must reside within the affected community.

Membership Application Requirements

1. Complete Application

2. Submit Principal Information for Background Check, if applicable

3. Submit Vetting documents

Once submitted, the board will review the application and notify the Primary Contact of the next steps.

Supporting Documents:

1. TCRA Bylaws

2. Data Sharing/Confidentiality

3. Conflict of Interest Policy
I am submitting this application as a:
Legal Name of Organization
Organization Name
Operating Name (if different)
Organization Name
Name

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Phone Number
Phone NumberFormat: (000) 000-0000.
Email
example@example.com
I wish to (click all that apply)
Do you reside within an affected community?
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Because you do not reside in one of the affected communities, you are not eligible to serve on the Community Liaison Committee. Please uncheck the “Serve on the Community Liaison Committee” box above and complete the resource information section, if applicable. If you are not eligible and do not have a resource to offer, there is no need to submit an application at this time. Should your eligibility or available resources change in the future, we welcome you to reapply.
Primary Contact Person

First NameLast Name
Phone Number
Phone NumberFormat: (000) 000-0000.
Title
Email
example@example.com
Add Another Contact Person?
Secondary Contact Person

First NameLast Name
Phone Number
Phone NumberFormat: (000) 000-0000.
Title
Email
example@example.com
Please describe the resource you can provide:
Are you offering this resource:
Upload any supporting documentation that would be helpful.

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Brochures, Flyers, etc. Cancelof
Is your organization is less than one year old?
Since your organization is less than one year old, would you like to request an exception for consideration?
Mission Statement & Organization Overview
Provide a brief narrative describing your organization's mission, goals, target population, and its role in the disaster recovery landscape.
Founding Date & Legal Status
Date your organization was founded or began operations and explain its current legal structure (e.g., incorporated nonprofit, unincorporated association, fiscally sponsored, etc.).
Key Leadership Bios
Short bios or résumés of key leadership and/or board members.Highlight any relevant disaster recovery, nonprofit, or community organizing experience.
Community References or Endorsements
At least two references who can speak to the group's integrity, community ties, and impact.
Summary of Activities to Date
Description of past or current activities related to disaster response or recovery.
Budget and Financial Capacity
Describe the financial controls or systems in place, and indicate whether the organization has a bank account in its name or through a fiscal sponsor. Name fiscal sponsor, if applicable.
Is your organization a 501c3 nonprofit in good standing with the IRS?
Has your organization ever had its 501(c)(3) status revoked or suspended?
Please explain
Our organization agrees to:
Background Check Information

Organizational principals will be subject to a background check. Results will remain confidential and will be used solely to inform membership eligibility decisions.
Name of Principal 1

First NameLast Name
Title
Date of Birth

MonthDayYear
Date
Name of Principal 2

First NameLast Name
Title
Date of Birth

MonthDayYear
Date
Name of Principal 3

First NameLast Name
Title
Date of Birth

MonthDayYear
Date
Vetting Documents

Please upload all required documents to ensure your membership application is complete and eligible for review.
501c3 Determination Letter

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Grassroots Determination Letter

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Most recent IRS Form 990 (or equivalent financial documentation)

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Statement of Intent

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Signed statement outlining how the organization intends to contribute to the mission of the TCRA. Cancelof
Budget or Financial Projection

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Current Year Cancelof
Documentation of Impact

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Photos, testimonials, outreach materials, press mentions, etc. Cancelof
Miscellaneous

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Any additional items to support membership application Cancelof
Involvement

How does your organization intend to be involved?
Our organization wishes to participate in the following ways:
Please describe
Logo

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Upload logo to be displayed on TCRA website Cancelof
Which Committee(s) are you interested in serving on?
Who should be invited to the Case Management Committee for your organization?
Who should be invited to the Construction/Rebuild Committee for your organization?
Who should be invited to the Finance/Fundraising Committee for your organization?
Who should be invited to the PIO/Communications Committee for your organization?
Who should be invited to the Spiritual/Emotional Care Committee for your organization?
Who should be invited to the Unmet Needs Committee for your organization?
Who should be invited to the Volunteer/Donations Committee for your organization?
Authorization and Signature

I certify that the information provided in this application is accurate and complete to the best of my knowledge. I acknowledge that this application does not guarantee membership and that the Travis County Recovery Alliance Board of Directors reserves the right to approve, deny, or revoke membership in accordance with its bylaws.
Signature
Authorized Representative

First NameLast Name
Title
Should be Empty:

TRAVIS COUNTY RECOVERY ALLIANCE

Background Check Information

Vetting Documents

Involvement

Authorization and Signature