Become a CBO Partner If you are a Community Based Organization looking to benefit from easy-to-use software to better serve more of your community, please fill out the form below. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Official Organization Name (copy) *Enter your organization's nameWebsite Link *Link to your nonprofit websitePrimary/Headquarter Address (Line 1) *Address Line 1Primary/ Headquarter Address (Line 2) *Address Line 2City *Enter your CityState *Enter your StateZIP Code *Enter your ZIP CodeMission StatementVision StatementDescription of ServicesWhat service(s) does your organization provide?What are the focus areas of your organization? *Education K-12Workforce Development (examples: Adult Education, Skill trade training, Entrepreneur technical assistance)Civic Engagement: (examples: Voter Rights, Registration, Turnou)Public TransportationHealthcare (examples: Behavioral Health, Substance Use, Mental health, Preventative care)Food SecurityHousingEarly Childhood/ WICEducation programming: all age rangesFinancial Well-Being/ LiteracyOther (Please Specify On Next Field)Select all that applyFocus Areas - Selected "Other"If you did not select 'Other', please skpi this field.Please indicate the county or counties that your organization provides service in: *Enter all county names and separate each name with a comma. (Separate with commas ie: Wessex, Jordan, Flanks County)Please indicate ZIP Codes your services are provided in: *Enter all ZIP Code your organization serves and separate each number with a comma. (Separate with commas ie: 12345, 67890, 09876)How many events does your organization host annually? *01 – 56 – 1212+Please select one optionHow many community members are served Per Event? Selected Value: 0 Please indicate the 'average amount' of community members you serve during your annual/monthly events, ranging from ( 0 to 500+ ) community members.Indicate the average number of community members that your organization serves on a regular Monthly Basis: Selected Value: 0 Indicate the average monthly amount of community members your team serves, ranging from ( 0 to 500+ ) community members.Does your organization have a diversity, equity, and inclusion policy? *YesNoPlease provide a reason for your response, (Yes or No) *Enter your reason here, if you do have a policy, please provide a link in the explanation or someone from our team may request a copy of your policy at a later date.CEO/Executive Director Name: *FirstLastEnter the first and last name of your CEO/Executive DirectorCEO/Executive Official Title: *Enter the official title, ie: CEO, Chairperson, Director, Executive Director, Etc.CEO/Executive Director Email: *Enter the email address of the CEO/Executive DirectorCEO/Executive Director Phone Number: *Enter the CEO/Executive Director's Phone NumberCFO/Financial Director First Name: *FirstLastCFO/Financial Director Official Title: *Enter the official title, ie: CEO, Chairperson, Director, Executive Director, CFO, Etc.CFO/Financial Director Email: *Enter the email address of the CFO/Financial DirectorCFO/Financial Director Phone Number: *CFO/Financial Director's Phone NumberSubmit