pcg
pcg

"People underestimate their capacity for change. There is never a right time to do a difficult thing."

-- John Porter

pcg
pcg
pcg

PCG Circle Registration Application



Please make sure to fill out the required fields marked with a *

Company Name:
Type of Organization:
Contact Person: *
Company Address:
Phone: *
Fax:
E-Mail: *
Website
You are applying for: Emerging (Fee: $2,500)
Breakthrough (Fee: $5,500)

Please note that by submitting this application to be part of PCG Circle, you are committing to participate in the project if selected. Payment is expected in full on/before August 1st, 2006.


Please provide the following information:
1. Please write a one paragraph description of your company - history, current program(s) and accomplishments.
2. Who is your target constituency?
3. Do you have administrative support and/or volunteers?
4. Are you a 501c3? Yes No
If yes, how many members are on your board?
5. A one paragraph description of your fundraising efforts to date?
6. What are your annual costs?
7. Do you use a database? Yes No
If yes, what program do you use?
8. Do you have an accounting system? Yes No
If yes, what program do you use?
9. A one paragraph description of where you would like your organization to be in five years?
10. Please list the top three concerns you would like to address during the consultancy.
1.
2.
3.