Nonprofit Membership Form

Each member of the ETHNN is a vital link in a collaborative community network, and as such, shares in ideas, concerns and decisions as well as the development and deployment of resources to address the needs of low income and vulnerable populations.

ETHNN Representatives are appointed by their organization or network annually.
Each Organization may have several representatives but a single Representative will vote on their behalf without regard to the population size of the community that Organization represents.
Representatives shall attend monthly meetings and special events including the annual ETHNN Summit.
Representatives shall participate in ETHNN courses designed to improve understanding of poverty.
Representatives shall participate in ETHNN councils, and those elected by council members to co-chair those councils will serve on the ETHNN Board of Directors.

2019 Nonprofit Membership Form

* Indicates required field

What is the name of your organization? *

Is the Organization a 501c3? *

Yes No

In what year was your organization incorporated? *

What is your EIN? *

Executive Director / CEO's Name *

First

Last

Executive Director / CEO's Email *

Board President Name *

First

Last

Board President Email *

Nonprofit Representative for ETHNN *

First

Last

Title *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

What is your organization's mission? *

National Taxonomy for Exempt Entities *

Does your organization receive an independent financial audit annually? *

Yes No

What is your annual budget? *

Name of second representative. Will participate but defer voting to primary representative. *

First

Last

Email *

Name of third representative. Will participate but defer voting to primary representative. *

First

Last

Email *

Nonprofit Website *

Upload your Logo *

Max file size: 20MB

Our organization supports the mission and objectives of ETHNN.

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