Community Development Works is a program of The Rapides Foundation
318.443.7880

Nonprofit Partner Application

APPLICATION
Date*
Organization Name*
Executive Director*
Business Address*
City*
State*
Zip*
The organization has 501 (c)(3) nonprofit
tax-exempt status*
Year Received
Years in Operation
Mission*
Parishes served by organization*
Annual Operating Budget?
$
Business Phone
Fax
Business Email
Website

Board Information

How many members are on the board?*
Board Chair*
Board Chair Email
What are term limits for board members?
  
If other, what?
Indicate day board meets*
How often does the board meet?*
 
If other, when?*
Indicate time board meets*
Does the nonprofit have Directors and Officers Liability (D&O) Insurance*
What brings you to this program? Check all that apply*







Other Reason, What?

Mentor Information

Who will be the board member assigned to mentor the participant in their new role? The mentor CANNOT be the Executive Director or staff members. Training will be provided.
Mentor*
Mailing Address*
City*
State*
Zip*
E-mail*
Phone Number*
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