Membership Application
Membership in GroundWork group provides all kinds of opportunities! Join today by following these simple
instructions:
- Have the following items handy before you start the membership application process:
- your organization's mission statement, year founded and website address (if you have a website)
- contact information for your CEO/Executive Director
- approximate number of total employees (include full time, part time and seasonal
- approximate size of annual operating budget
- approximate number of computers in use today
- your IRS determination letter indicating you are a charitable, tax exempt nonprofit organization (if you have
this in a format that can be emailed, great! If not, plan to mail it to us through the US Mail.)
- if you would like to pay online also have your credit card ready.
- Follow these easy steps:
A. Review our Membership Agreement and download a version for your files.
You must read and agree to this before you can become a member of GroundWork group.
B. Complete the membership form
C. Pay the membership fee online and submit your IRS determination letter by email or mail both them to us
through the US Mail.
- After you submit your materials and while you are waiting to hear back from us, please identify a person in
your organization to serve as the GroundWork group liaison. GroundWork group will communicate with this person
regarding your organization's logon information and organizational profile. This person will also distribute
logon information to your staff (your organization will have one logon name and one password. The password
will change periodically at your request or at our initiation.)
- GroundWork group personnel will contact you within two business days after we receive your application to
provide you with your site logon and password information and to complete your organizational profile.
Thank you for your interest in GroundWork group! If you are not sure if you want to proceed with purchasing a
membership right now, please contact us to arrange for a
GroundWork group representative to answer any questions you might have about the value of membership!
If you are ready to purchase a membership now, complete the following form. Congratulations
and thank you! You are joining a great community of nonprofit organizations working together to put information
to work increasing the capacity to serve!
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* Denotes Required Field |
Payment Method
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*Please indicate that you have read the membership agreement:
I accept the membership agreement
I do not accept the membership agreement
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| Please enter the Name of Organization |
*Name of Organization:
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| Please enter the Street Address |
*Street Address:
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| Please enter the City |
*City:
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*State:
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| Please enter the Zipcode |
*Zipcode:
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Website address:
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| Please tell us about your organization |
*Please tell us about your organization:
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Organization's mission:
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| Please enter the Year Organization Founded |
*Year Organization Founded:
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Please note the above information will be posted on the public section of our website once you become a member.
Nothing after this point will be posted – it will be used to help GroundWork group improve services to you and
other nonprofit organizations.
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*How did you hear about GroundWork group?
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| from a nonprofit colleague |
| from a nonprofit foundation or other funding source |
| from a search for resources on the internet |
| from a news article |
| Columbus Dispatch |
| Chronicle of Philanthropy |
| Tech Week |
| Business First |
| Other |
| contacted by GroundWork group personnel |
| received an email |
| received a brochure/flyer |
| other (please list):
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| Please enter the Name of CEO/Executive Director |
*Name of CEO/Executive Director:
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| Please enter the Email of CEO/Executive Director |
*Email of CEO/Executive Director:
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| Please enter the Phone number of CEO/Executive Director |
*Phone number of CEO/Executive Director:
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Name and job title of Primary Contact person if other than CEO/ED:
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Email of Primary Contact (if not CEO/ED):
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Phone Number of Primary Contact person (if not CEO/ED):
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| Please enter the Name and job title of person completing this application form |
*Name and job title of person completing this application form:
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Annual Operating Budget Size:
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Number of employees (total annual FTE):
less than 10
10-25
26-50
51-100
over 100
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Number of offices/service locations:
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*Number of computers in use:
less than 10
10-25
26-50
51-100
over 100
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Please indicate your primary areas of interest in GroundWork group by checking one or more of the
following:
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Training Services
Board Matching
Volunteer for Pilot Project
Website Services
Hitbox
Network Assessment
Technical Support
Internet Connectivity
Managed IT Services
Used Equipment
Discount Purchasing Programs
Technology Planning
Other (please list):
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| Please note that GroundWork group does not distribute contact information about members to any non-member
third party for any purpose. A list of GroundWork group members with general information (address, website
address, mission) is posted on our list of members in the public section of the website and a link to your
website may be activated. |
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