Nonprofit Organization Information

Nonprofit Organization Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Is the organization a registered 501(c)3? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Nonprofit Organization Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Nonprofit Organization Website {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Nonprofit Organization Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Contact Information

Main Point of Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Contact Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

About Your Organization and Communities Served

Mission Statement {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Check all that describe the race/ethnicities represented in the workforce of your organization: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

We would love to learn about your organization. Please complete the following questions with a minimum of 3-4 sentences. There is no maximum word or character count.

Brief Organizational History {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Noteworthy Projects or Accomplishments {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Describe how the Organization Serves it's Communities {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

How many constituents do you hope to serve with the Community Access Pass? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Demographic Information

Please select the Council District your nonpfit organization is located: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Unsure of your district? Check it out here: List of San Diego City Council District by Zip Code

Check all that describe the race/ethnicities served by your organization: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Select all that describe the age ranges served by your nonprofit: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }

Select all that describe the distinct groups served by your nonprofit: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{ binding displayValue, mode=oneTime }