Give Agency Organization Intake Form
"Thank you for reaching out to Give Agency. This form helps us understand your organization and explore how we can best support your goals."
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Section 1: Organization Information
Organization Name
*
Year Established
*
Type of Organization
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(Nonprofit, Social Enterprise, Community Group, Other)
Website URL:
*
Social Media Handles
*
Facebook
Instagram
LinkedIn
Twitter
Social Media URLS
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Section 2: Mission & Vision
Briefly describe your organization's mission and vision
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Who do you serve?
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(Target audience/community)
What is your organization’s primary focus area?
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(e.g., education, healthcare, environment, arts, entrepreneurship, etc.)
Section 3: Programs & Impact
List your main programs or initiatives:
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Share any measurable impact, key achievements, or milestones
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(e.g., number of people served, communities reached, awards received)
Any upcoming projects or campaigns you want to highlight
*
Section 4: Needs & Goals
What challenges or opportunities are you currently facing?
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What are your short-term and long-term goals?
*
How do you think Give Agency could support your organization?
*
Are there any specific projects, campaigns, or initiatives you would like help with?
*
Section 5: Resources & Collaboration
Official proof of 501(c)(3)
*
Browse Files
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Section 6: Additional Information
How did you hear about Give Agency?
Please Select
Facebook
Instagram
LinkedIn
Word of Mouth
Any other notes or information you'd like to add.
Submit
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