Application for North Carolina Green Party Affiliation and Startup Grant
This application is for affiliations with the North Carolina Green Party (NCGP). The following organizations may seek affiliation: local/regional chapters, campus-wide chapters, and identity caucuses. This form also serves as an application for the the organization seeking affiliation to receive seed funding from the NCGP upon approval of affiliation by the NCGP Coordinating Committee. New local chapters, statewide identity caucuses, and campus-wide organizations, as well as those that have been inactive for more than a year and are now reviving, are eligible for a range of funding based upon the size and scope of the area and membership of the organization. In order to be recognized as a local chapter, caucus, or campus-wide affiliate of the NCGP, the group must have at least 5 NCGP members and have held at least two publicly announced meetings that were announced and advertised at least a week in advance of the meetings, in addition to other affiliation requirements below.

Please visit www.ncgreenparty.org/membership for detailed membership information.

What is the official name of your local chapter / organization? *
Your answer
Application Contact First Name *
Your answer
Contact Last Name *
Your answer
Contact Phone Number *
Your answer
Contact Email *
Your answer
What is your title/role with your organization? *
Your answer
Please list any official public websites or Facebook pages or Facebook groups for your organization. *
Your answer
Please select the option that would most accurately describe the scope of your local chapter / organization. *
Please list any counties and major cities/town(s) included in your local region. *
Your answer
Please list the first and last names, email addresses, and mobile (or home) phones of at least 5 members of the NCGP who are also members of your local chapter / organization. *
Your answer
Approximately how many current NCGP members have attended your meetings more than once? *
Your answer
Give a conservative estimate of the size of your membership (people who will have attended at least two meetings a year and joined the NCGP as well) 12 months from now? *
Your answer
How many publicly advertised meetings have you had so far? *
Your answer
Is your group a registered political committee with the state of North Carolina with its own treasurer? Or is it a campus organization with its own treasurer? Or does your group lack a treasurer and will instead seek funding entirely by the state party? *
If your group is a registered political committee, please submit the name and contact info of your treasurer and the approximate date they completed NC State Elections Commission training.
Your answer
Does your organization have bylaws? If so, please attach your organization's bylaws here or provide a URL where we can read them online (e.g., Google Docs). It is essential that your bylaws stipulate that a member of your organization must also be an NCGP member. *
Your answer
Please add any other notes or a short description of your local chapter / organization and what you will be using seed funding for, particularly if your group is not presently closely affiliated with NCGP.
Your answer
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