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    Application to join the New York Council of Nonprofits.

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    Application to join the New York Council of Nonprofits.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    84 views2 pages

    Microsoft Word - 2009 Mem App FINAL NYCON

    Uploaded by

    NYCON
    Application to join the New York Council of Nonprofits.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    The New York Council of Nonprofits, Inc. formerly the Council of Community Services of NYS, Inc.

    2009 Nonprofit Membership Application


    Step 1. Check off appropriate Membership Dues

     Operating Budget under $50,000: $50  Operating Budget $3 million to $4,999,999: $250
     Operating Budget $50,000 to $499,999: $100  Operating Budget $5 million to $6,999,999: $350
     Operating Budget $500,000 to $999,999: $125  Operating Budget $7 million to $9,999,999 $400
     Operating Budget $1 million to $1,999,999: $150  Operating Budget Over $10 million: $450
     Operating Budget $2 million to $2,999,999:$ 200

    Step 2. Tell us who you are.

    Organization:
    Executive Director/CEO:
    Address
    (City, State, Zip):

    Phone: Employee ID #:
    E-mail Address:
    Website:
    County (Located in):
    # of Employees (FTE):
    # of Board Members:
    Year Incorporated:
    Current Operating Budget:
    % Budget from Government:
    NYCON
    (Main Office) Secondary Staff Contact Name & Title:
    MENANDS Secondary Staff Email:
    272 Broadway
    THE NEW YORK COUNCIL OF NONPROFITS, INC.

    Albany, NY 12204
    1.800.515.5012(p)
    Board President Name:
    518.434.0392 (f) Board President Email:
    REGIONAL How did you hear about NYCON? ___ Another nonprofit ___Workshop ___Online ___Other
    OFFICES Your membership includes a regular e-mail newsletter on events, member benefits and nonprofit news.
    Please attach a list of other staff and board members who should be receiving this update!
    BUFFALO
    Ellicot Square
    Building
    295 Main Street Step 3. Tell us what you do.
    Buffalo, NY
    (716) 241-5010 (p)
     Advocacy (Case/Client)  Criminal Justice  Housing (Emergency/Transition)
    NEW YORK  Advocacy (Policy/Lobbying)  Crisis Services  Housing (Permanent)
    CITY  Aging  Cultural  Information & Referral
    305 Seventh Avenue  Animal Welfare  Disabilities  International Relief/Services
    (27th Street)  Domestic Violence
    New York, NY 10001
     Art (Performing)  Legal
     Art (Visual)  Economic Development  Library
    212.924.6744 (p)  Education (Primary/Secondary)
     Art (Other)  Mental Health/Counseling
     Assisted Living Facility  Education (Other)  Museum
    ONEONTA  Employment & Training
    224 Alumni Hall,  Association (Business Improvement,  Neighborhood/Rural Improvement
    Chamber, Homeowners, etc.)  Environmental  Planning/Technical
    SUNY Oneonta
    Oneonta, NY 13820  Association (State, Regional, etc.)  Family Planning Assistance/M.S.O.
    607.436.3124 (p)  Camp  Food/Nutritional  Poverty
    604.436.2760 (f)  Cemetery  Gay/Lesbian Services/Issues  Recreation/Sports
     Child Care (Day/After-School)  Grantmaker (Foundation, United  Religious
    POUGHKEEPSIE  Child Rights/Social Justice Way, etc.)  Residential Care
    85 Cannon Street
     Child Welfare  Head Start  Self-Help Services
    Poughkeepsie, NY  Health Prevention/Research
    12601  Civic Affairs  Senior Center
     Clinic (Medical or Dental)  Historical Society  Substance/Alcohol Abuse
    845.454.5062 (p)
     Community Action Program  HIV/AIDS  Trade Association
    845.454.6032 (f)
     Community Center  Home Health Care  Volunteer Services
     Community Education  Homelessness  Women’s Services
     County Fair  Horticulture  Youth
     Credit Counseling0  Hospice
     Zoo
     Hospital
    2009 Nonprofit Membership Application (page 2)
    Step 4. Tell us what you need!

    Group Purchasing Organizational/Management Community Planning, Research &


     BJ’s Membership  Assistance & Training Evaluation
     Chronicle of Philanthropy  Accounting Software  Consortium Development or
     Conference Call Services  Advocacy & Lobbying issues Contract Management
     Composite Bonding  Board Development  Focus Group & Survey
    Program (Capitol  Budget Development Research
    Improvements)  By-laws  Marketing Donor Research
     Consultation-Insurance  Development Review  Needs Assessment
    Benefits  Employee Compensation  Program Development
     Dental Insurance Consultation or Evaluation Consultation
     Directors & Officers  Financial Management  Program Evaluation
    Liability Insurance Assistance  Proposal Review &
     Discount  Fiscal Agent Services Consultation
    Software/Hardware  Fund Development (Capital
     Discount Vision Care Campaigns)
     e-Learning Coursework  Fund Development (General) All membership applications are
     Fund Development/Donor  Incorporation/Certificate subject to approval by the New
    Mgmt Software Amendment York Council of Nonprofits,
     Health Insurance  IRS forms 990, 990T, CHAR Inc.(NYCON). Membership in
     Life Insurance 497, or NYSCFR NYCON does not indicate, or
     Payroll Services  Legal Assistance otherwise imply endorsement or
     Property/General/Transpo  Merger Planning/Strategic support by NYCON for the
    rtation/ Professional Alliances operation, mission or activities of
    Liability  Personnel Policies & any member organization.
     Retirement Benefits Employment Practices Members are free to state their
     Staples Office Supplies  Proposal Development membership affiliation with the
     Statutory Disability  Retreat Planning & NYCON in annual reports,
    Benefits Facilitation brochures or proposals as long as
     Stanford Social Innovative  Strategic Planning the affiliation is not presented in a
    Review  Team Building (staff and/or way that implies endorsement by
    THE NEW YORK COUNCIL OF NONPROFITS, INC.

     Supplemental Short/Long- board) NYCON of the organization or


    Term Disability  Training Series Schedule it’s activities.
    NYCON  Technology – Idealware
    (Main Office)  Technology - NTEN
     Unemployment Program
    MENANDS
    272 Broadway
     Web Conferencing
    Albany, NY 12204 Services
    1.800.515.5012(p)
    518.434.0392 (f)

    BUFFALO
    Step 5. Please return the following with your completed application to the
    Ellicot Square NYCON Main Office in Albany, NY.
    Building
    295 Main Street  A copy of your current board member list (with addresses & affiliations)
    Buffalo, NY
    (716) 241-5010 (p)
     A copy of your current by-laws
     The appropriate dues amount for the calendar year.
    NEW YORK
    CITY
    305 Seventh Avenue
    (27th Street) Please Read & Sign:
    New York, NY 10001
    212.924.6744 (p)
    (Organization’s Name) supports the mission and objectives of the New York Council of Nonprofits, Inc.
    ONEONTA (NYCON) a 501(C) nonprofit; agrees to be a voting member of NYCON and cooperative with other members
    224 Alumni Hall,
    SUNY Oneonta in furthering the purposes and activities of NYCON; and hereby applies for membership on the basis of
    Oneonta, NY 13820 NYCON charitable purposes.
    607.436.3124 (p)
    604.436.2760 (f)
    Authorized Signature:
    POUGHKEEPSIE
    85 Cannon Street
    Poughkeepsie, NY
    12601
    845.454.5062 (p)
    Title:
    845.454.6032 (f)

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