Catalyst Circle Information Survey
BASIC INFORMATION
Name
Professional Affiliation
The primary business or organization you are affiliated with. e/g/ Museum of Modern Art.
Preferred Phone Number
Phone Type
Mobile
Work
Home
Preferred Email Address
Email Type
Work
Home
Twitter Handle
Address 1
City
State
ZIP
What emails would you like to receive from us?
Monthly Newsletter Only
All Emails (Including Program Announcements, Special Events, etc.)
TELL US ABOUT YOU!
Please enter a short bio:
What unique skills, qualities, and connections would you bring to the organization?
Non-profit Management
Financial Management
Strategic Planning
Fundraising
Legal knowledge
Social Justice
Community Development
Communications
Marketing / PR
Event Planning
Art/Creative Sector
Business/Corporate Sector
Public/Government Sector
Philanthropic Sector
Other
If you checked "Other," please explain:
HOW WOULD YOU LIKE TO CONTRIBUTE?
What is the minimum you'd like to commit to giving between now and December 31?
$1,000 or more.
In what ways would you like to contribute to The LP this year? (Feel free to check more than one option. The LP staff will follow up with more information.)
All at once: Check, Credit Card, or Paypal
In monthly installments
In quarterly installments
Purchasing special edition prints (
http://www.laundromatproject.org/shop.htm
)
Joining the SOAPBOX Host Committee
Other
If you checked "Other," please explain:
At what level would you like to join our 2016 SOAPBOX Host Committee?
Please select...
$300
$500
$1,000
$2,500
$5,000
In what other ways might you support The LP in the next year?
Secure business sponsorships
Secure matching gifts from an employer
Recruit others to join the SOAPBOX Host Committee
Fundraise on behalf of The LP
Other
If you checked "Other," please explain:
WHAT DO YOU LOVE ABOUT THE LP?
What about The LP’s mission and vision resonates with you?
Which of The LP's values most resonates with you?
Creative Catalysts
Neighborly
Active Listeners & Learners
Collaborative & Cross-Pollinating by Design
Community-Centered
People Powered
Propelled by Love
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