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 strategically invest in our community for health, hope and prosperity."*
What is your organization's reason to engange in a comprehensive organizational assessment?*
How willl this assessment serve as a springboard to capacity building work?*
What recent or expected economic, political, or social changes have impact on your organization and how can this assessment process help you deal with these challenges?*
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 per month from Jan - Oct.*
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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