Organization Registration

 

Please complete the information below to register your organization. Only an organization’s designated administrator should complete the profile below. 

All fields are required and you may answer “I don’t know” if you’re unsure about a question. Once submitted your registration will be reviewed prior to approval and account activation.

* = Required Field
Organization Information
* Organization Name
Organization Short Name
* Address
Address 2
* City
* State
* Zip
* County
Organization Details
Category (Primary)
Category (Secondary)
* Total number of staff across organization?
* If your organization provides direct services, what is the approximate number of recipients served each year?
Organization Administrator
Please complete your information below. As an organization's administrator you will be able to access the full site—however, there can only be one organization administrator per agency. Your email and password that you assign on this form will also be your log-in credentials if your registration is approved.