Partner Form and User Agreement
Due June 28, 2017 for inclusion in August 1, 2017 Directory Release
903Help.org Partner Form
Indicates required field
What is the name of your organization?
If "Other", please explain
Is the Organization a 501c3?
What is your EIN?
Executive Director / CEO's Name
Executive Director / CEO's Email
What is your organization's mission?
National Taxonomy for Exempt Entities
A - Arts, Culture, & Humanities
B - Education
D - Animal related
E - Health Care
F - Mental Health & Crisis Intervention
G - Voluntary Health Associations and Medical Disciplines
H - Medical Reseach
I - Crime & Legal-Related
J - Employment
K - Food, Agriculture & Nutrition
L - Housing & Shelter
M - Public Safety, Disaster Preparedness & Relief
N - Recreation & Sports
O - Youth Development
P - Human Services
Q - international & Foreign Affairs
R - Civil Rights, Social Action & Advocacy
S - Community Improvement & Capacity Building
T - Philanthropy, Volunteerism & Grantmaking Foundations
U - Science & Technology
V - Social Science
W - Public & Societal Benefit
X - Religion-Related
Y - Mutual & Membership Benefit
Z - Unknown
Directory Liaison - Responsible for Data
The Directory Liaison is responsible for data entry, ensuring accuracy, and attending quarterly Liaison meetings.
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903Help.org User Agreement
This User Agreement describes the responsibilities and expectations between the East Texas Human Needs Network and the Partner Agency regarding the 903Help.org online Service Directory.
Partner Agency Name
RESPONSIBILITIES AND EXPECTATIONS
East Texas Human Needs Network agrees to:
Contract with CharityTracker (Simon Solutions) for the publishing of an online Service Directory.
Maintain the online Service Directory.
Provide training to Partner Agency staff.
Partner Agency agrees to:
Appoint a staff member as a Directory Liaison to work directly with ETHNN staff.
Ensure Directory Liaison participates in 903Help Service Directory Training.
Ensure Directory Liaison submits Agency, Program, and Services information using the 903Help Import Form.
Ensure Directory Liaison logs in on the first of every month and makes updates as needed.
Ensure Directory Liaison participates in quarterly Directory Liaison meetings.
The East Texas Human Needs Network and the PA may terminate this Agreement, with or without cause, with a seven (7) day written notice of termination. Such notice shall be given in writing to the other party and shall be sent to the address below via certified or registered mail with return receipt. At that time, all PA information on the Service Directory will be deleted.
Signatures of authorized representatives
Executive Director/CEO Name
By submitting this form, I affirm that our organization supports the mission of ETHNN and its 903Help.org initiative.
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Founder and Network Weaver
East Texas Human Needs Network
4910 Hightech Drive
Tyler, TX 75703
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4910 Hightech Dr.
Tyler, Texas 75703