Organization *

Membership Status

New Member

Membership Renewal

Please select what cause(s) your organization identifies as:

Mission *

DEI Statement

Address *

Address

City

State/Province

Zip/Postal

Phone *

EIN#/Tax ID# *

Website/URL *

Contact Person/Volunteer Coordinator First Name *

Contact Person/Volunteer Coordinator Last Name *

Title *

Email *

Executive Director First Name *

Executive Director Last Name *

Email *

Should the Executive Director be added to our email distribution list? *

Yes

No

Are you interested in participating in the 2024 Human Race 5K? Held on April 20, 2024 at Country Park *

Please select your organization's annual budget:

Your annual membership is $75

Your annual membership is $150

Your annual membership is $250

Your annual membership is $350

Your annual membership is $500

The Volunteer Center Nonprofit Partner Agreement

I agree to the Terms of the Partner Agency Agreement *

I agree to the Terms of the Partner Agency Agreement

My organization has nondiscrimination policies in place in accordance with state and federal law regarding clients served and volunteers acceptedMy organization has nondiscrimination policies in place in accordance with state and federal law regarding clients served and volunteers accepted

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