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Application for Membership in the West Georgia Nonprofit Network (WGNPN)
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* Indicates required question
Email
*
Your email
Name of Organization
*
Your answer
Organization Mailing Address
*
Your answer
Organization Website (if applicable)
Your answer
Organization Facebook Address (if applicable)
Your answer
Contact 1
Please provide details for the first contact for your organization. This person will be added to the listserv, and will be the first person contacted should we need to contact your organization.
Name
*
Your answer
Title
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Contact 2
Please provide details for the second contact for your organization. This person will be added to the listserv in addition to the first contact.
Name
*
Your answer
Title
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Organizational Information
Is your organization a 501c3?
*
Yes
No
In the process
Please provide a 1-paragraph description of your organization:
*
Your answer
Select the appropriate category for your organization below.
*
Environment
Human Services
Education
Religious
Civic Organization
Medical/Hospice
Art & Culture
Economic Development
Animal Services
Other:
Required
List the counties in which your organization serves.
*
Your answer
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