C.O.R.E Program Application & Agreement Form

C.O.R.E Program Application & Agreement Form

Spring 2026 Campus to Community: Building C.O.R.E. Communities for Change!
Program Overview

The North Carolina Black Alliance (NCBA) invites student organizations to participate in the Campus Organizations Redefining Engagement (C.O.R.E.) Program.
This initiative empowers student-led organizations to drive civic engagement and voter education efforts on their campuses, expanding democratic participation and building civic power through community-based organizing.

Program Summary

Participating organizations will receive funding, training, and strategic support to coordinate nonpartisan civic activities such as:
- Attending local civic meetings
- Leading campus-based voter education
- Activating peers around local and national elections
- Promoting civic awareness and responsibility through social media
- Organization Name:*
- University/College:*
- Registered Student OrganizationUnregistered Student Organization
- Organization's Mission Statement:*
- Upload Screenshot of Bylaws:*
  
  Upload a screenshot of your organization's bylaws showing that you have a civic engagement or educational component with your mission or goals.
  Cancelof
- Primary Student Contact (CORE Representative)*
  
  First NameLast Name
- Email*
  example@example.com
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Graduation Year:*
- Organization Title/Position*
- Secondary Student Contact (CORE Representative)*
  
  First NameLast Name
- Email*
  example@example.com
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Graduation Year:*
- Organization Title/Position*
- YesNo
- Organization Advisor Contact:
  
  First NameLast Name
- Email
  example@example.com
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Each participating organization may earn up to $800 per semester based on meeting program requirements.
  
  To receive payments, your organization must meet one of the following financial eligibility options:
- We are a registered campus organization and have an EIN (Employer Identification Number).We are a registered campus organization without an EIN, but have an agreement with our university stating that our treasurer or secretary may receive funds on behalf of the organization.We are a registered campus organization without an EIN, but our advisor is willing to receive funds on our behalf.We are an unregistered campus organization, but have an EIN (Employer Identification Number)
- Upload Supporting Documentation:
  
  If you have an EIN, upload IRS confirmation letter or W-9 Form. If you have a university agreement, upload the signed document. If your advisor will receive funds, upload a written email or letter of consent from the advisor.
  Cancelof
- EIN Number (if applicable):
- Full Name of Individual or Advisor Receiving Funds:
  
  First NameLast Name
- Position/Title of Individual Receiving Funds:
- Campus Email of Individual or Advisor Receiving Funds:
  example@example.com
- Phone Number of Individual or Advisor Receiving Funds:
  Please enter a valid phone number.Format: (000) 000-0000.
- By signing this form, our organization agrees to:
  - Participate in required NCBA trainings and civic engagement activities.
  - Mobilize peers for at least two civic meetings per semester.
  - Host one civic education event per semester as outlined by NCBA. (Must collaborate with other campus organizations.)
  - Host or collaborate on Get Out the Vote (GOTV) activations.
  - Submit documentation (photos, reflections, and attendance) via Jotform after each activity.
  - Post and tag our social media pages to amplify civic engagement visibility.
  - Maintain consistent communication with NCBA program staff.
- I agree on behalf of my organization
- Signature*
  
  Clear
- Date*
  
  MonthDayYear
  Date
- Please review all fields before submitting.
  Incomplete forms will not be considered for program participation or funding eligibility.
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