Grove Dallas Membership Application
First Name
Your answer
Last Name
Your answer
Referred By (if referred by a current Grove Member)
Your answer
Name of Organization/Project
Your answer
Tagline
Your answer
Current Address
Your answer
Address Line 2
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Contact person for your company:
(if other than yourself)
Your answer
Telephone Number
Your answer
Email Address
Your answer
Website
Your answer
What is the mission of your organization/project?
Your answer
What makes your organization/project socially innovative or important?
Your answer
Facebook
Your answer
LinkedIn
Your answer
Twitter
Your answer
Instagram
Your answer
Organizational Blog
Your answer
What networks or collaborations are you a part of?
(please put each network on a separate line)
Your answer
Legal Structure
Organizational Form
Type of Organization
(please select all that apply)
Required
What sector/s do you operate in?
(please select all that apply)
Required
How long has your organization been operating?
Your answer
What stage of growth is your organization at?
In which issue areas are you active?
(please select all that apply)
Required
What services do you offer?
(please select all that apply)
What types of products do you offer?
For Example: Shirts, Honey, Light Bulbs, Perpetual Motion Machines
Your answer
What types of programs do you offer?
For Example: Game Workshops, Character Building, Youth Camps
Your answer
What is your geographic scope?
How much do you currently pay for rent?
Your answer
Please describe why you are interested in The Grove.
Your answer
Please describe what you feel you can offer The Grove community.
Your answer
Rate the importance to your organization of the following criteria.
1 = unimportant, 5 = extremely important
1
2
3
4
5
Location
Row Work Space Access
Meeting Space Access
Like-Minded Community
Shared Services
Social Capital/Networking
Healthy Work Environment
Profile
What level of membership are you interested in?
How many people from your organization will be utilizing The Grove?
Your answer
What is your preferred start date?
MM
/
DD
/
YYYY
Have you been to The Grove before?
How did you hear about The Grove?
(please select all that apply)
Required
Any additional comments that we might need to know about you or your organization?
(If you have already been approved for membership, please use this section to share your Emergency Contact information.)
Your answer
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