Welcome to the Civicas Network! 
 
Questions 1 - 7 will be used to make your membership profile on the Civicas website. The membership directory is password protected and only available to other Civicas members. 
Questions 8 - 11 are for internal purposes to help improve our membership benefits and services. 

Question Title

* 1. Contact Information
(Only name, linkedIn, and email will be listed in the membership directory.)

Question Title

* 2. May we include your email in the Civicas Membership Directory?
(This directory will be password protected and only available to other Civicas members.)

Question Title

* 3. Member Photo
(If you do not want your photo to appear in the directory, please upload a logo for one of your affiliations.)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File

Question Title

* 4. Civicas Areas of Interest

Question Title

* 5. Affiliations
To which groups/organizations (PERSONAL, PROFESSIONAL &/or PHILANTHROPIC) do you belong?

Question Title

* 6. What program, project, organization, or civic passion would you like to share with the Civicas Network?

Question Title

* 7. What personal, professional and/or philanthropic skills or resources would you like to list with the Civicas Network?

Question Title

* 8. Please rank the Civicas resources from most likely to use (1) to least (5).

Question Title

* 9. Please rank the following Civicas benefits in order of importance-1 being the most important to you.

Question Title

* 10. Would you be interested in hosting a Civicas salon?

Question Title

* 11. Any other feedback, ideas, or questions.

T