Exit HBSCNY Community Partners Project Criteria and Application We review applications from nonprofit organizations throughout the year. Once we receive your completed application and financial information, it will be reviewed by one of our Project Committees – Arts and Culture, Education, Environment and Health, or Social Services – and we will respond to you with questions and next steps.ED/CEOs or Board Members are encouraged to apply and champion the project on behalf of the client org.General Requirements Organization is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Organization is located in and focuses its activities and programs in the Greater New York Metropolitan Area. National and international organizations are encouraged to apply if headquartered in the Greater New York Metropolitan area. Nonprofit Criteria for Consulting Projects Annual budget of at least $300,000 At least 3 full-time paid staff or 3 full-time equivalents. Project Champion (Executive Director/CEO or Board Member on behalf of the Board) will champion the engagement for the organization. He or she commits to active involvement throughout project and through its completion, including participation in project kickoff meeting and final presentation from project team. Nonprofit Criteria for Brainstorming Engagements Annual budget of at least $100,000 At least 3 full-time paid staff or 3 full-time equivalents. Project Champion (Executive Director/CEO or Board Member on behalf of the Board) will champion the engagement for the organization. He or she attends Brainstorming Session(s) along with key board and/or staff members from the organization. Nonprofit Criteria for Office Hour Consult Engagements Annual budget of at least $100,000 At least 3 full-time paid staff or 3 full-time equivalents. Project Champion (Executive Director/CEO or Board Member on behalf of the Board) will champion the engagement for the organization. He or she attends Brainstorming Session(s) along with key board and/or staff members from the organization. A confirmation page will appear upon clicking “Finished” at the bottom of this application if the submission was successful and complete. Question Title * 1. Submission Date: Date: Date Question Title * 2. Organization Name: Question Title * 3. In what year was the organization founded? Question Title * 4. What is the organization's website? Question Title * 5. Project Champion (Executive Director/CEO or Board Member on behalf of the Board): Name: * Company: Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: * Question Title * 6. If you are not the Project Champion, please share your title and contact information: Name: Title: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Question Title * 7. What is the organization's mission statement? (50 words at maximum) Question Title * 8. Please describe your key programs and activities as they relate to the Greater New York Metropolitan Area. Question Title * 9. Does the organization have 501(c)(3) status? Yes No Question Title * 10. What is the organization's annual budget? Question Title * 11. Please summarize your organization's sources of funding. Enter whole numbers for each that applies (exclude percent sign) to total 100% Individual Donors % Corporate Sources % Foundation Grants % Event(s) Sources % Earned Income % Other % Question Title * 12. If your organization has an endowment, please provide the dollar amount (exclude dollar sign): Question Title * 13. As part of our application process, we require that your organization submit its latest audited financial statements to Community Partners. Please indicate your preferred option below. I will email latest audited financial statements to communitypartners@hbscny.org. I will provide a link in the box below where Community Partners can download our organization's latest audited financial statements: Link to latest audited financial statements: Question Title * 14. What is the organization's affiliation status? Parent (overarching organization which holds tax exempt status) Chapter (affiliated with parent organization where the tax status is derived from the parent organization) Federation (part of a network but each entity has its own tax status) Other (please specify) Question Title * 15. Please list number of employees: Full-time: Part-time: Question Title * 16. Please list approximate number of volunteers: Full-time: Part-time: Question Title * 17. Please specify the type of Community Partners engagement for which you would like to be considered. (You may select more than one choice.) CONSULTING BRAINSTORMING OFFICE HOURS COACHING Question Title * 18. Select the most appropriate focus of your organization: Arts and Culture Education Environment and Health Social Services Workforce Development Question Title * 19. Describe the proposed project in as much detail as possible. (500 words maximum) Question Title * 20. Community Partners focuses on engagements that are strategic in nature. How does your project proposal align with your mission? (500 words maximum) Question Title * 21. We require the organization’s ED/CEO – or a Board Member acting on behalf of the Board – to direct the efforts and involvement of others in the organization, working with our consulting team. Who in your organization will serve as the Project Champion? Question Title * 22. In addition to the Project Champion, what other leaders on your Board and/or on your leadership team would be involved in this effort? Question Title * 23. When would you like to have the results of this project? Question Title * 24. How did you hear about Community Partners? Our website Internet search E-mail Social media (please specify the social media platform below) HBS Alumni referral (please specify name below) HBS Affinity Club (please specify affinity club below) Referral from someone else (please specify name below) Previous Community Partners Engagement Other (please specify below) Please specify (if applicable): Question Title * 25. Additional Comments: Finished