BRIDGING THE IMPACT NONPROFIT COLLECTIVE NTX MEMBERSHIP APPLICATION & ENROLLMENT FORM
Share your organization details, programs, and collaboration needs to apply and enroll.
Organization Information
Organization Name
*
Organization Type
*
Please Select
Nonprofit
Charity
Foundation
Social Enterprise
Community-Based Organization
Faith-Based Organization
Other
Year Established
*
EIN
Website / Social Media
City / State
*
First Name
*
Last Name
*
Title / Role
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Collaboration & Capacity
Organization Focus
*
Collaboration & Needs
*
Do you currently have volunteers?
*
Yes
No
Do you have a location for events?
*
Yes
No
Do you need a location for events?
*
Yes
No
Are you open to sharing space with other organizations?
*
Yes
No
Do you have liability insurance?
*
Yes
No
Strongest Assets or Contributions
*
Willingness to Actively Participate In
*
Events
Workshops
Community Outreach
Fundraising
Advocacy
Volunteer Support
Other
Availability
*
Weekdays
Evenings
Weekends
Mornings
Afternoons
Flexible
Other
Select Your Membership Role
*
Please Select
Member
Partner
Collaborator
Volunteer Leader
Advisory Representative
Other
Board & Leadership Roles
Board Member
Secretary
Committee Chair
Marketing & social media coordinator
Events coordinator
Community relations coordinator
Grants and fundraising Coordinator
Board and leadership roals
Other
Committee & Team Involvement
Program Committee
Membership Committee
Events Committee
Fundraising Committee
Communications Team
Community Outreach Team
Volunteer Coordination
Literacy committee
commiter and team involvement
Other
Are you open to collaborations with other organizations?
*
Yes
No
Would you like to be matched with another organization?
*
Yes
No
What types of partnerships are you seeking?
*
Visibility & Promotion
*
How actively do you plan to engage in the council?
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Funding, Programs, and Readiness
Do you currently have 501(c)(3) status?
*
Yes
No
Do you currently have a defined program or service?
*
Yes
No
Do you currently have a budget or financial plan?
*
Yes
No
Have you received previous funding or grants?
*
Yes
No
Briefly describe your main program(s) or services
*
Who do you serve? / Target population
*
What impact do you aim to make?
*
What type of collaborations are you most interested in?
*
Do you currently have the following?
*
501(c)(3) determination letter
Budget or financial plan
Program/service description
Strategic plan
Outcome metrics or evaluation plan
Recent grant report
Other readiness documents
What can your organization contribute to the collective?
*
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