ABOUT

Adinisci modi temsora dolore eliruam.

Lorem insum dolor amet consec tetur adiriscin elit eiusmod temsor incididunt labore dolore masna alirua enim minim veniam nostrud exerci.

Success Customers

Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur sint occaecat cupidatat proident.

Lorem ipsum dolor amet consec tetur adipiscing elit eiusmod tempor incididunt labore dolore magna alirua enim minim veniam nostrud exerci tation ullamco laboris aliruip commodo conseruat irure dolor reprehen derit voluptate velit esse.

George Smile

Our Client

George Smile

Our Client

- Step 1 of 3

Organization Information

Organization: *

Description *

Logo (File Upload) *

Click or drag a file to this area to upload.

Address: *

Address Line 1

City

State

Zip Code

Layout

# of employees: *

Company Phone Number *

Organization's annual budget or sales: *

Website / URL

Social Media Accounts

Layout

Facebook

YouTube

Twitter

Instagram

Contact Information

Layout

Name: *

Email: *

ED/CEO Name: *

Title: *

Phone:

ED/CEO Email: *

Tell us more about your organization and community impact!

What category or categories best identify your organization (mission and/or core programs)? Please check all that apply. *

Advocacy
Education (Postsecondary)
Media
Arts & Culture
Education (Other)
Mental Health
Behavioral Health
Faith-Based
Multi-Service
Child Care
Food Services
Philanthropy
Community Business
Healthcare
Public Sector
Criminal Justice
Housing & Homelessness
Recovery Services
Disability Services
Information & Referrals
Safety Net Services
Domestic Violence
Immigrants & Refugees
Senior Services
Education (K-12)
Job Development
Veterans

Layout

What county/counties do you primarily serve? *

Bucks
Bucks & Montgomery
Montgomery
SEPA
PA-Wide
Other

If you largely serve a specific town(s) or area(s), please share this here. If not, please list n/a. *

How many individuals do you serve annually? Or how many organizations or businesses if these are your primary clients? Please specify individuals or organizations. *

Help us better understand your organization’s composition, skills, resources, and challenges by answering the below optional questions. This will help us build a resource directory to serve you more effectively, and will help compound our collective impact. Thank you for your support of collaboration for stronger nonprofits and communities!

If you would like to skip this section of the form, please click the next button below.

Organization Demographics

Layout

Is your organization BIPOC-led? (Black, Indigenous, People of Color)

Is your mission to primarily serve BIPOC or other historically marginalized communities?

What is the racial/ethnic composition of your organization, including staff and board? Please respond by number and not percentage. Thank you.

Layout

American Indian or Alaska Native

Southeast Asian

White

Black or African American

South Asian

Multiracial or Biracial

Hispanic or Latinx

Middle Eastern

Unknown

East Asian

Pacific Islander

Prefer not to share

Organization Skills & Resources

The Collaborative often receives requests for trainers, vendor recommendations, and organizations with specific skills sets or resources. Let's build a resource directory together!

Layout

My organization has expertise or strong skills in these areas:

Would you be willing to share your expertise or skills with others members?

We are seeking to develop skills in these areas, and could benefit from other members' experiences:

We recommend these vendors for strategic planning, audit/financial review, building repairs/maintenance, landscaping, IT services, or other! List N/A if you do not have recommendations. Thank you!

Payment Submission

If your organization is BIPOC-led (Black, Indigenous, People of Color) or your mission is to primarily serve BIPOC or other historically marginalized communities, please take an additional 5% off your dues. This reflects the Collaborative's commitment to advancing racial equity and social justice and acknowledges historical funding biases.

Layout

Organization’s Annual Budget or Sales *

Payment Method *

If you would prefer to submit your dues by check, please send your payment to P.O. Box 66, Harleysville, PA 19438 with the check made payable to the Bucks-Mont Collaborative. Contact Payal Mohan, Associate Director, with any questions.

267-416-0389

contact@bucksmontcollab.org

Log In

Navigation

Contact Information

Phone

Email

Log In

ABOUT

Adinisci modi temsora dolore eliruam.

Success Customers

George Smile

George Smile

Organization Information

Social Media Accounts

Contact Information

Tell us more about your organization and community impact!

Organization Demographics

Organization Skills & Resources

Payment Submission

SIGN UP TO STAY CONNECTED!

contact@bucksmontcollab.org

267-416-0389

Sign In