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Funders' Committee for Civic Participation
Member Portal
2019 Membership Form
Thank you for your interest in joining FCCP. Your participation makes our network stronger and advances the field of civic engagement grantmaking. Please complete the form below to provide us all the necessary information for your membership.
Contact Information
Organization name
*
Organization's address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Organization's website
Dues related contact
Please provide us with the name, job title and e-mail for your dues contact.
Contact information for voting representative
Please provide us with the name, job title and e-mail for your voting representative.
Other colleagues to add to FCCP's e-mail list
Please provide a NAME, JOB TITLE, and EMAIL for each individual.
Which of these contacts should be added to the FCCP members-only portal? Should any others be added to the portal?
If so, please provide their full name and e-mail address.
FCCP Annual Membership dues
What is your organization's overall grantmaking budget?
*
Please indicate your organization's 2019 dues level based on the sliding-scale chart for annual grantmaking budgets shown above.
*
$500
$1,500
$3,000
$4,000
$5,000
$10,000
$15,000
Numerous FCCP members also support this work through a general support grant. May we explore a potential grant opportunity with you?
Yes
No
Maybe
Member Census
What is your organization's civic engagement grantmaking budget?
Are you interested in joining one of FCCP's working groups?
Please select all that apply.
Funders' Census Initiative
Money in Politics
If you were a member in the past, have you made any changes to your civic engagement funding strategies as part of your FCCP membership?
Please tell us about any new areas of focus, changes in approaches, or shifts in strategies your organization is piloting.
What skills, knowledge or benefit are you hoping to receive from your FCCP membership?