Nonprofit Partnership Program Application

User information

• First name
• Last name
• Email
• Gender
• Birthday
• Address

Additional information

• Organization Name
• Organization Street Address
• Organization Phone Number
• Organization Email Address
• Organization Website
• Nonprofit Point of Contact First and Last Name
• Point of Contact Organizational Role
• Point of Contact Phone
• Point of Contact Email
• Is your organization a registered 501(c)(3)?
• If yes, how long has the organization maintained a 501(c)(3) status?
• If yes, please attach the Internal Revenue Services (IRS) determination letter.
• Organization Chief Officer or Executive Director Name
• Organization Chief Officer or Executive Director Phone
• Organization Chief Officer or Executive Director Email
• Does your organization provide services to the Chamblee community?
• Does your organization have a Board of Directors?
• If yes, please provide names, positions and email addresses of board members:
• How many programs/events does the organization offer to the Chamblee community each year? Please also provide a list of these events.
• Please provide the organization's mission statement below:
• Please provide a brief explanation of the organizations' programs and/or events:
• What are the strengths, weaknesses and challenges of the organizations?
• How many volunteers does your organization typically recruit wihin one year?
• Please indicate each of the funding sources your organization typically receives (please check all that apply):
• Other funding sources from previous question:
• Why is your organization interested in joining the Chamblee Nonprofit Partnership Program?
• What areas in professional development would you be interested in learning more about?