Individual Membership Application

Did you mean to apply as an organization instead?

Members with a Mission

The Center for Social Change accepts members who fit into one of the following categories:

Nonprofit Organization

Social Entrepreneur

Individual or Project with a Mission to Benefit Others

If you fit any of the above criteria and would like to begin a coworking membership with us, please complete the application below.

 





Personal Contact Information

First Name (required)

Last Name (required)

Email: Best direct email for us to reach you. (required)

Email: For your public member profile if different from above.

Phone: Best direct phone number for us to reach you. (required)

Phone: For your public member profile if different from above.

Your Online Presence

Please complete as many as you can. These links will help us promote your cause and events as a member.

Website

Facebook

Twitter

LinkedIn

Instagram

YouTube

Tell Us More About Yourself

How would you describe yourself? You're welcome to select more than one! (required)

Please describe the work you do. (required)

In which issue areas are you active? (required)

How does your work make a social impact? (required)

What is your venture's geographic scope? (required)

What is your legal structure? Please select option(s) applicable to the current/future plans for your idea, project, or initiative(s). (required)

Membership Details

Which membership option(s) are you interested in? (required)

What length membership are you seeking?

Preferred Start Date (required)

Why are you interested in a C4SC membership? (required)

What do you feel you can contribute to C4SC's collaborative community? (required)

Last But Not Least

How did you hear about the Center for Social Change? (required)