Nonprofit Leadership Membership Application

Nonprofit Leadership Membership Application

The Coalition of Hispanic Nonprofits of North Texas operates under the Dallas Legacy Mission, advancing leadership development, fostering collaboration, and aligning philanthropic efforts to strengthen our community. Please complete all required fields to be considered for membership.
Coalition of Hispanic Nonprofits of North Texas

The Coalition of Hispanic Nonprofits of North Texas is a regional leadership network dedicated to supporting collaboration, enhancing funding visibility, and driving collective impact. Membership is complimentary with annual updates required to maintain active status and good standing.
Date*

MonthDayYear
Date
Organization Name*
Primary Representative Name*
Each organization designates one Leadership Representative as the primary Coalition contact.
Title*
Nonprofit membership includes one designated Leadership Representative who serves as the organization’s primary Coalition contact and receives individual Leadership Membership benefits within the Coalition. Additional affiliated leaders may apply separately if desired.
Cell Phone*
Please enter a valid phone number.
Email*
example@example.com
Primary Organizational Address*
Website
EIN*
By submitting this application, you authorize the Coalition to verify your organization’s tax-exempt status through the IRS Tax Exempt Organization Search.
IRS Tax-Exempt Classification: Please indicate your organization’s current IRS designation (examples: 501(c)(3) Public Charity, 501(c)(4), 501(c)(6), Religious Organization, Government Entity, Other).*
Examples include 501(c)(3), 501(c)(4), 501(c)(6), religious organization, government entity, other.
Funding Eligibility Notice

At this time, only IRS-recognized 501(c)(3) public charities in good standing are eligible to receive Coalition-administered funding. Other nonprofit classifications are welcome to join the Coalition but are not eligible for direct funding.
Geographic Area Served*
List the cities, counties, and/or neighborhoods you primarily serve (ex: West Dallas, Dallas County, DFW Metroplex, statewide, etc.).
Annual Budget Range

Below $50,000$50k–$150k$150k–$250k$250k–$500kAbove $500k
Organizational Needs
What resources or support would be most helpful to your organization in the next 12 months? (Examples: funding readiness, partnerships, volunteer recruitment, governance/board development, marketing/communications, program expansion.)
Primary Impact Focus*
Briefly describe your organization’s primary mission area(s) and the communities you serve.
Please Share Your Organization Logo

Upload a high-resolution logo (PNG preferred). This helps us build the member directory and promotional materials.
Cancelof
By becoming a member of the DLM Coalition of Hispanic Nonprofits of North Texas, you grant permission for the Coalition to share your organization’s name, logo, and non-confidential program information through its website, newsletters, reports, and social media platforms for promotional and collaborative purposes.
Media Authorization*

YesNo
Submission of this application does not guarantee membership approval. The Coalition reserves the right to review applications to ensure alignment with its mission and collaborative values. Member organizations must remain in good standing with the IRS.
Signature*

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Nonprofit Leadership Membership Application

Coalition of Hispanic Nonprofits of North Texas