Join the Greater Des Moines Nonprofit Collaborative |

Your Name*

First Last

Your Email*

Your Phone*

Nonprofit/Agency Name*

Nonprofit Website*

EIN*

Nonprofit Address*

Street Address Address Line 2 City State ZIP Code

What is the nonprofit's mission statement and how is executed?*

Annual Budget in Dollars*

Used for Giveaways

Number of Employees*

Are you the Executive Director/CEO/President of this nonprofit?*

Yes

What is your role with this nonprofit?*

Executive Director/CEO/President Name*

First Last

Executive Director Email*

Executive Director Phone*

I have experience in these areas and would take part in the Collaborative Skill Share Program

I'm interested in helping shape the Collaborative by serving on a committee(s)

Our Nonprofit is Interested in receiving free giveaways*

Yes

What regular giveaways are you interested in?

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