Nonprofit - Interest Form v2

If you are interested in learning more about how BANC could help your organization, please share your contact details. You will have the option of simply being placed on BANC's mailing list or also being contacted by a member of our Nonprofit Relations Committee to discuss a potential project. (The deadline has passed for our most recent project cycle. We will contact you when the next cycle starts.)
* = requires an answer.

Please make sure to click on the Done button at the end of the survey to make sure your responses are recorded.

Tell us how we can contact you!
(Please note that at this time we are focusing on nonprofits in the Chicago area.)

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* Organization Name

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* Organization City

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* Year Founded (YYYY)

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* Your Name

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* Your Position

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* Preferred Email Address

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* Preferred Phone Number
(enter as xxx-xxx-xxxx)

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* How did you hear about BANC? (select all that apply)

BANC email

BANC website

Forefront email newsletter

My organization is a previous BANC client

Professional colleague/associate

Rustandy Center email

Rustandy Center OnBoard Conference

UChicago Office of Civic Engagement

Other (please specify)

17% of survey complete.

Nonprofit - Interest Form v2

Question Title

* Organization Name

Question Title

* Organization City

Question Title

* Year Founded (YYYY)

Question Title

* Your Name

Question Title

* Your Position

Question Title

* Preferred Email Address

Question Title

* Preferred Phone Number (enter as xxx-xxx-xxxx)

Question Title

* How did you hear about BANC? (select all that apply)

* Preferred Phone Number
(enter as xxx-xxx-xxxx)