CDC Membership Application CDC Membership Application Organizational InformationOrganization Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Website Primary ContactName* First Last Title*Email* Additional ContactName* First Last Title*Email* Additional ContactsPlease provide name, title, and emailOrganizational InformationBrief Description of Organization*Geographic Boundaries of Service Area*Please clearly define the specific area your organization serves using the most accurate of ZIP codes, census tracts, or streets/features creating clear North/South/East/West boundaries.Organization Mission Statement & History*Copy of 501(c)(3) Letter of Determination from the IRS*List of Organization's Past and Current Development Activities (if applicable)Most Recent 990 or Organizational Operating BudgetNeighborhood Strategic Plan (if applicable)
CDC Membership Application CDC Membership Application Organizational InformationOrganization Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Website Primary ContactName* First Last Title*Email* Additional ContactName* First Last Title*Email* Additional ContactsPlease provide name, title, and emailOrganizational InformationBrief Description of Organization*Geographic Boundaries of Service Area*Please clearly define the specific area your organization serves using the most accurate of ZIP codes, census tracts, or streets/features creating clear North/South/East/West boundaries.Organization Mission Statement & History*Copy of 501(c)(3) Letter of Determination from the IRS*List of Organization's Past and Current Development Activities (if applicable)Most Recent 990 or Organizational Operating BudgetNeighborhood Strategic Plan (if applicable)