THIS IS AN OLD VERSION OF THE AGREEMENT. Click to access the New Member Agreement as of Dec. 2025.

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Email *

Agency/Organization Name *

Organization Services/Focus Area(s) *

Animal Welfare

Bilingual or Multicultural Support

Children & Youth

Clean Air Centers (Does your facility have an indoor space with air filtration that could serve as a Clean Air Center for the public during poor air quality events?)

Disability Services & Support

Donations Management

Education

Financial Assistance

Farmworker and Day Laborer Support

Food - Prepared Meals

Food - Groceries Distribution

General Meeting Space Availability (In the Other selection specify if your organization has space available for meetings, coordination, or community use?)

Houseless Services

Rental and Housing Assistance

Immigration Rights and Defense

Interpretation and Translation

Legal Services

Mental and Clinical Health

Preparedness Education

Radio, Media

Resources for Native Americans

Spiritual and Faith-Based

Senior Services

Transportation (Transportation vouchers, Volunteer Drivers, Agency-owned vehicles. If your organization has vehicles, please list the types and capacities in the Other Section: List Type of vehicle Estimated # of Vehicles Wheelchair accessible? Estimated # of Paratransit Vehicles Wheelchair accessible? )

Other:

Required

Agency Leader's Name, Title, and Email Address *

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