Member Profile Info

Member Organization Contact Information

Organization Legal Name (private)*

Organization Name (for public display)*

Employer Identification Number*

Mailing Address*

City*

State*

Zip*

Main Business Phone*

Website*
(Full URL, Please Include 'http://')

Primary Caring Connection contact Name*

Primary Caring Connection contact Phone*

Primary Caring Connection contact Email*

CEO / Executive Director Name*

CEO / Executive Director Phone*

CEO / Executive Director Email*

Contact to schedule Nonprofit Fair & Speaking - Name*

Contact to schedule Nonprofit Fair & Speaking - Phone*

Contact to schedule Nonprofit Fair & Speaking - Email*

Volunteer Coordinator Contact Name*

Volunteer Coordinator Contact Phone*

Volunteer Coordinator Contact Email*

Billing or Payment contact Name*

Billing or Payment contact Phone*

Billing or Payment contact Email*

Year Organization Formed

Year of 501(c)(3) Determination:

Current # of Board Members

Fiscal Year

Does your organization have an annual audit?

2015 Revenue

2015 Expenses

2014 Revenue

2014 Expenses

Caring Connection does not discriminate against individuals on the basis of race, color, religion, creed, national origin, gender, age, sexual orientation, gender expression, marital status, military status, veteran status, physical or mental disability or any other unlawful basis in the administration of services, employment, volunteers, membership or leadership.

Caring Connection welcomes nonprofits who welcome everyone. Does your nondiscrimination policy include each of the potential bases of discrimination listed above?

If not, would your organization be willing to sign a certificate stating that you do not discriminate for these reasons and/or revise your current policy?

Does your organization create an Annual Report?

Do you have a staffed office available to the public during regular business hours?

Mission Statement

Member Program Service Information

The following fields are being collected so that our members and other nonprofits can use our site for client referral purposes. The information that you provide will be used and presented in a searchable directory.