Affiliates Application Form

A CCF Affiliate is an organization that utilizes the CCF space to deliver its programs. Please complete the CCF Affiliate Application below.

We will notify you as quickly as possible after the review has been completed.

Please enable JavaScript in your browser to complete this form.

Organization Name

Is the Organization a 501c3?

Primary Contact Person’s Name

First

Last

Primary Contact's Phone

Primary Contact's Email

Impact: program(s)? anticipated

Emergency Contact Name & Phone Number Information (CEO, Exec. Dir. or other management personnel)

Organization’s Mission Statement:

Brief Description of Programming: What type of programming will your organization bring to the CCF? Please include the target population and number of anticipated participants.

Start Date (xx/xx/xxxx)

End Date (xx/xx/xxxx)

Space and Use: How much space will you need for your program(s)? How many days per week? Hours per day?

Alignment: The mission of the Carver Center for Families is to “...preserve, strengthen, and celebrate families.” How does your programming align with this mission?

Impact: How will your programming benefit the CCF, its participants, and the surrounding community?

Digital Signature Confirming You Agree to the Terms

Clear Signature

Contact

The Carver Center for Families (CCF) in Georgetown, Texas is a family resource center (FRC) that nurtures the health and well-being of children, youth, and families, and builds on the strengths of our community’s parents, caregivers, and residents, as well as the organizations that support them.