Network Member Application Form

A Network Member is an organization that utilizes Carver Center for Families (CCF) space to deliver its programs, is not a CCF tenant, and while offering a community benefit, a CCF Network Member may not be essential to achieve the Center’s mission.

Please complete the CCF Network Member Application below.

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

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organization Number Name

Organization Name

Is the Organization a 501c3?

Primary Contact Person’s Name

First

Last

Primary Contact's Phone

Primary Contact's Email

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?

Impact: How will your programming benefit 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.

Network Member Application Form

Contact

OUR PARTNERS

1200 W. 17th
Georgetown, TX 78626

Network Member Application Form

Contact

OUR PARTNERS

1200 W. 17thGeorgetown, TX 78626

1200 W. 17th
Georgetown, TX 78626