Membership Application

Contact Information

Name(Required)

Prefix First Last

Organization(Required)

Title/Position(Required)

Email(Required)

Phone

Membership Type(Required)

Organization Information

Organization's Address(Required)

Street Address Address Line 2 City State ZIP Code

Organization Type(Required)

What type of address is this?

Mailing

Billing

What is your Organization's geographic focus?(Required)

We fund organizations directly in one state or territory

We fund organizations directly in more than one state or territory

We fund national intermediaries, pooled funds, and/or organizations to pass through funds to the state and local organizations

We directly fund local or regional organizations

We fund national organizations

Please indicate if you fund specific geographic location.

What civic participation areas does your institution currently fund?

Organization's Links

Organization's Website(Required)

Please type in "https://" in your url.

Facebook

Please type in "https://" in your url.

Instagram

Please type in "https://" in your url.

Twitter

Please type in "https://" in your url.

Due Information

Dues Lead Name

Please provide the name, title, and the email for the person with whom we should connect about dues.

Prefix First Last

Dues Lead Title/Position

Email

Team Information

FCCP sends out a biweekly newsletter that provides updates on upcoming educational opportunities, resources, and news from around the network. Our members only email listserv enables you to interact with other members directly, asking questions, sharing strategies and highlighting your work. Please provide the name, job title, and email for all members from your organization who you would like added to our bi-weekly newsletter list and members only email listserv.

Additional Colleagues

Member Portal

Grant Making Information

Donor advisors and advising firms should base their rate amount the donor(s) the advise gives or should secure membership of their donor(s), of which they may be apart.

Please complete the questions directly below dues chart.

Total Grant Making/Contributions (Both C3 and C4 Entities)	Annual Dues
$20,000 - $249,999	$1,000
$250,000 - $499,999	$1,500
$500,000-$749,999	$2,500
$750,000-$999,999	$3,000
$1,000,000-$2,499,999	$4,000
$2,500,000-$4,999,999	$5,000
$5,000,000-$9,999,999	$6,000
$20,000,000-$24,999,999	$7,000
$10,000,000-$19,999,999	$12,000
$25,000,000-$49,999,999	$17,000
$50,000,000-$74,999,999	$20,000
$75,000,000-$99,999,999	$35,000
$100,000,000 and up	$50,000
Individual Members/Donors	$2,500

What is your organization's overall grant making budget?(Required)

Annual membership dues are collected on a calendar year basis and calculated on a sliding scale based on your organization’s overall grant making budget.

Please indicate your organization's dues level based on the sliding-scale chart shown above?(Required)

Are you interested in learning more about one of FCCP's working groups or program areas?

Check all that apply

Census

Voting Rights

Emerging Electorate

Philanthropic Practice

If signing up as an Institutional Member, Please upload your latest 990.

Max. file size: 256 MB.

What skills, knowledge, or benefits are you hoping to receive from your FCCP membership?

Contact Information

Organization Information

Organization's Links

Due Information

Team Information

Grant Making Information

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Email:

info@funderscommittee.org

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