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| Organization Name |
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* |
| Address |
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c/o or supplemental title |
| Address |
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number and street name |
| City, Town and District |
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* please choose
'Other & Non-Local' if your location is outside of the Kootenays or
not listed
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| Province |
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*
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| Postal Code |
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* |
| Telephone |
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*omit the '1'
if 1-800. please add secondary telephone numbers to the Contacts or Comments
section |
| Fax |
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| Email |
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general email |
| URL |
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www.yourgroup.org |
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| Hours of Operation |
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please indicate your operating hours |
| People Served |
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please indicate the specific demographic
assisted by your group |
| Description of Programs & Services |
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*a description
of your organization; be sure to include paragraphs |
| Funding Sources |
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please indicate your sources of funding if
applicable (not required) |
Volunteer Opportunities?
Yes No |
* |
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| Comments |
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miscellaneous helpful information not addressed
by any other field on the form |
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| Contact Name |
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*a contact
person |
| Title |
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title |
| Telephone |
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*contact telephone |
| Email |
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*contact email |
| Comments |
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add in secondary contacts or alternative phone numbers |
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*please choose
those categories which best represent your organization's areas of interest
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Addiction, Alcohol & Drugs
Advocacy & Activism
Arts & Culture
Business Information & Assistance
Child Welfare
Community Outreach
Community Planning & Development
Community Program Sponsors
Corrections & Rehabilitation
Counselling, Therapy, Psychiatric & Mental Health
Day Care
Education & Training
Emergency & Disaster Relief
Employment & Careers
Environment
Financial Assistance & Information
Free/Low Cost Goods & Services
Funding Assistance & Information
Gay & Lesbian
Health
HIV/AIDS
Homemaking & Home Care
Housing & Accommodation
Legal Assistance
Medical Care, Hospitals & Clinics
Museums & Public Libraries
Music, Fine & Performing Arts
News & Media
Other & Non-Local
Parenting & Family Life
Physical Therapy & Rehabilitation
Public Policy & Administration
Religion, Faith & Spiritual
Seniors
Service Clubs, Orders, Guilds & Fraternities
Social Clubs, Recreation & Special Interest
Societies & Cooperatives
Special Needs
Sport & Fitness
Support Organizations
Transportation
Travel & Tourism
Victim Assistance
Women & Mothers
Youth
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please be sure to double-check your information
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