Member Enrollment Form

FORM NOTES HIDDEN SECTION FOR ADMIN USE ONLY

1. There are two budget range fields because 501c3 amount is based on budget, but Grantmaker is not.

At Nonprofit New York, our mission is to champion and strengthen nonprofits through capacity building and advocacy to cultivate a unified, just, and powerful sector. We believe that healthy nonprofits are better equipped to fulfill their missions, and healthy nonprofits united in solidarity are an unstoppable force for good

Welcome to Nonprofit New York!

Type

I received this membership through:

What are you looking forward to from your membership with Nonprofit New York? (Select all that apply)

Access to a community of nonprofit professionalsCost savings/vendor programsEducational and training opportunitiesAccess to knowledge resources and materialsPolicy and advocacy workOther

If Other, please describe:

Organization Information

Organization Name

Organization EIN

Subsector

Organization’s operating budget range:

Work set-up

Fully in-personHybridFully remoteOther

If other, please describe:

Organization Street

City

State

Postal Code

Full-time Employees	Part-time Employees
Website	Facebook
Instagram	Twitter
Linkedin

NTEE Category

NTEE Code

Additional Contacts

The recipient of this form is the primary contact for the organization. If you would like other individuals from your organization to receive emails from us, please include their contact information below.

First Name

Last Name

Job Title

Role

Phone

Contact Information