NCECA COLLABORATION INTEREST APPLICATION

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Please tell us your name *

Please share your email address *

What is the best phone number to reach you on? *

What is the name of the organization on whose behalf you are submitting this application? *

If the organization has a physical location, where is it?

Please list the organization's website address and social media feeds. *

Is this organization a 501c3 nonprofit?

Yes

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Does the organization have a board of directors?

Yes

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If you answered "yes" to the question above, is the board aware of and in support of this application?

Yes

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Please use this space to share the mission and brief description of the organization.

Please use this space to briefly describe the goals you imagine for this collaboration.

Understanding that NCECA is not a grant-making agency and is unlikely to be able to provide direct financial support to your project, please share your vision of how you believe that NCECA can most effectively contribute to the proposed collaboration? Please be as specific as possible in this area.

How do you envision this collaboration expanding awareness of NCECA and adding value for its members? Please include specific ideas you might have in how your organization can help to advance NCECA's purpose and mission through this collaboration.

If there is anything else you would like to share about this collaboration, please use this space.

NCECA often prioritizes collaborations with its member organizations. Is your organization currently a member of NCECA?

Yes

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If you answered "no" to the question above, is your organization prepared to become a member of NCECA as a requirement of this collaboration moving forward?

Yes

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Please use this space to provide the names, phone numbers, and email addresses of two contacts who can be references for the organization and proposal.

Submit

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