Coeur Group Application
Coeur Group strives to be inclusive and only accepts a limited number of new organizations for each partnership year. Please complete each question below to the best of your ability. If you have questions regarding your application, please contact board@coeurgroup.com. Thank you.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Company You Work For: *
Your Role at the Company: *
Telephone Number (With Area Code) *
Physical Address:
Birthdate:
MM
/
DD
/
YYYY
Who referred you to the Coeur Group?
Why are you interested in becoming a Coeur Group Member?
Do you like Nickelback?
Clear selection
What is your favorite Beer?
Clear selection
The Coeur Group as an organization contributes thousands of hours to the North Idaho Community each year, which relies on the contributions of each and every member who joins. It is of critical importance that every member is willing and able to contribute their time on a bi-weekly / monthly basis to help achieve the goals set out by the board and membership. By accepting a membership role with the Coeur Group, you hereby acknowledge that you will  make the effort to continue the mission and goals set forth by the group.
Clear selection
Slack (mobile and desktop app) is the primary Coeur Group means of communication.  If you are accepted as a member, you hereby acknowledge that you will download and utilize Slack for group communications.
Clear selection
Do you have any known food allergies? If so please describe below:
I have answered the above questions truthfully, honestly and correctly. Please submit your completed application, and if you are accepted as a member, you will be invoiced for our annual membership dues of $150. These dues are to be paid on or before 03/31, of the respective year. Payment information will be available to at the time of acceptance.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy