HigherSelf Organizational Partner
Application
Providing resources to local small businesses and community members.
Your Personal Information
First Name
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Last Name
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Prefix
Please Select
Mr.
Ms.
Mrs.
Phone
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Your Organizational Title
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E-mail Address
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I. Organizational Information
Name of Organization
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Organizational E-mail
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Phone
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Website
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Organizational Address (if online, write "online" into the box below)
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Borough
Please Select
Brooklyn
The Bronx
Manhattan
Queens
Staten Island
Zip
II. Organization Information
What kind of organization are you applying on behalf of? Briefly describe the type of resources or services this organization provides to small businesses or community members. example: "we connect small businesses with grants and loans for development!"
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What this organization"s mission?
How does this organization practice social responsibility?
How big is this organization? How many people does it employ?
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Small: 1 - 10
Mid-Sized: 11 - 50
Large: 51- 250
Corporate: 250+
What kinds of resources will this organization provide to small businesses and community members?
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Grant or Loan Information
Jobs & Work Opportunities
Monetary Resources (Donations)
Workshops or Professional Development Opportunities
Additional Comments
How did you learn about HigherSelf?
A friend
A HigherSelf Event
Social Media
Through a volunteer
I don't remember
Would you like to subscribe to our newsletter?
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Thank You!
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