Nonprofit Capacity Building Application

Legal Name of Organization and Tax ID number*
Year Founded - Nonprofit must have had 501(c)(3) status for 3 years to be eligible.*
Current Annual Operation Budget*
Has you executive director been with your organization for at least one full year?*
Has your executive director participated in The Leadership Institute (Currently or Previously)?*
Executive Director*
Executive Director's Email*
Contact Person if Different than Executive Director
Phone
Contact Person's Email
Organization's Address*
Website Address
Please discuss your organization's mission, primary programs and services. How do these services align with Impact Alamance's mission of "We partner and invest to achieve hope, health and prosperity for everyone in Alamance County."*
Has your organization completed board assessment and training through Impact Alamance? If yes, how did this benefit your organization and did it lead to positive outcomes?
What is your organization's reason to obtain capacity building technical assistance?*
How will this assistance benefit the organization in expanding or sustaining services?*
Is your board and staff willing and available to commit the time to the capacity building process? Approximately 4 hours of meeting time is needed each month over a 6 month time period.*
Please attach a Letter of Support from your board chair.
Max. file size: 50 MB.
Upload a copy of your current Solicitation License on your Letter of Exemption here.
Max. file size: 50 MB.

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