Organization Membership Application

Did you mean to apply as an individual 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.





Primary Contact Information

Organization Name (required)

Primary Contact First Name (required)

Primary Contact Last Name (required)

Primary Contact Title (required)

Email: Best direct email for us to reach the primary contact. (required)

Email: For your organization's public profile if different from above.

Phone: Best direct phone number for us to reach the primary contact. (required)

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

Your Online Presence

Please complete as many as you can. These links will help us promote your organization's causes and events as a member.

Website

Facebook

Twitter

LinkedIn

Instagram

YouTube

Organization Background

What year was your organization founded? (required)

Please provide a brief description of your organization. (required)

What is your organization's mission? (required)

In which issue areas is your organization active? (required)

Please describe how your organization makes a social impact. (required)

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

What is your organization's 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) is your organization interested in? (required)

What length membership is your organization seeking?

Preferred Start Date (required)

Why is your organization interested in a C4SC membership? (required)

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

Last But Not Least

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