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Mandatory fields
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First name
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Last name
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Nonprofit you are representing
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Zip Code of the nonprofit you are representing
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Number of paid employees at nonprofit you are representing
None
1-2
3-5
6-10
11-25
26+
Not applicable
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Role at the nonprofit you are representing
Executive Director
Nonprofit Staff
Board Member
Volunteer
Other
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Company/Agency you work for (if not employed at the nonprofit you're representing)
Job Title
What is your role or title with the nonprofit you are representing.
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Work Email
Work Street Address
Please enter the street address for your organization.
Work City
Work Zip Code
Work Phone
Organization's EIN
