The Impact Guild: Interest Form
We are excited that you are interested in joining our community. With only a few dedicated spaces, we want to make sure we would be a good fit for one another. Please fill out the following form to share a bit about your organization. We will be in touch!
First Name *
Your answer
Last Name *
Your answer
Organization/Project Name *
Your answer
Tagline
Your answer
Address *
Your answer
Address line 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Telephone Number *
Your answer
Website
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Facebook
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Twitter
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Instagram
Your answer
Please describe your organization/project. What is your mission? *
Your answer
Does your organization/project have a social innovation component? *
If yes, how is your organization/project socially innovative? If "not yet", what are your plans to develop this?
Your answer
Organization's Legal Structure *
What is your geographic scope? *
What best describes your organization's growth stage? *
What sector(s) do you work in? *
Check all that apply
Required
Why do you want to be a member of The Impact Guild? *
Your answer
What do you feel that you can contribute to The Impact Guild community? *
Your answer
What can we do for you? *
Please tell us how important the following services are to you.
Very Important
Moderately Important
Slightly Important
Unimportant
Resources and workshops
Meeting Room access
Social/Community building opportunities with other members
Neighborhood/City involvement opportunities
Quiet Environment
Referral Type *
Required
Referred by
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