JCAC Support Intake Form

JCAC Support Intake Form

Please complete the intake form using the requested center, contact, membership, demographic, education, and practice details.
Center and Organizational Details
Jain Center / Sangh Name
Other Jain Center Name
Tax Exempt Status
JAINA Membership
Jain Center Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Website URL
Primary Contact Information
President Name
President Email
example@example.com
President Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Chairperson Trustees Name
Chairperson Trustees Email
example@example.com
Chairperson Trustees Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Membership and Demographics
Current Membership
Projected Membership Growth in Next 10 Years
Demographics
Community, Education, and Practices
How many other Jain centers are in a 50-mile radius?
Pathshala
No. of Classes
No. of Students
Language Classes
Are you following 7 Dravayas/Kshetra?
Existing Temple
Anjan Shalaka Pratimaji
Shikharbandhi Derasar
Are you planning to construct a new temple complex (including facilities)
Are you planning to expand the existing temple complex (including facilities)
Are you planning to renovate the existing temple complex (including facilities)
Support Needs
List Areas of Support
Estimated Project Cost
Enter the amount in USD or CAD.
Estimated Project Timeline
Estimated Operation & Maintenance Cost
Enter the amount in USD or CAD.
Current Financial Status
Cash at Hand
Enter the amount in USD or CAD.
Pledges
Enter the amount in USD or CAD.
Loans
Enter the amount in USD or CAD.
Funds Required
Enter the amount in USD or CAD.
Current Fundraising Schemes
Current Status of the Project
Temple/Center requirements finalized and approved by General Body
Land purchased
Zoning permit received
Design stage
Construction permit
Construction stage
India Support (e.g. Marble, FRP, Roopkam, Woodwork etc.)
List religious events completed (e.g. Bhoomi Poojan, Khanan Vidhi, Anjanshalaka, Prathishtha, etc.)
Should be Empty:

JCAC Support Intake Form

Center and Organizational Details

Primary Contact Information

Membership and Demographics

Community, Education, and Practices

Support Needs

Current Financial Status

Current Status of the Project