Feb. 4, 2012
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First Name:
*
Last Name:
*
Title:
Organization:
Address:
City:
State:
Zipcode:
Phone:
E-mail address:
Website:
How did you hear about Our Native Circle?:
Event/conference
Training
Oweesta website
Other website/organization
Search engine
Word of mouth
Other
I would like to join Our Native Circle at the following level:
BASIC- Includes access to member resources and allows you to post events on the calendar. Plus, you will be added to the Circle Up! listserv, allowing you to receive and post email alerts with in the Our Native Circle community development community.
SPONSOR- Includes advertising banners, home page advertisements, or Circle monthly sponsor. See Sponsorship page and download
Media Kit
for rates and terms.
Please describe your organization in one of the following three ways:
Native Community Development Financial Institution
Investor/Funder involved or planning to be involved in Native Community Development issues and/or activities
Other Community Development Organization or Individual
Type of organization (Check all that apply):
Native nonprofit
Community based nonprofit
CDC
Native Community Development Financial Institution (NCDFI)
Federal government
Financial institution
For profit entity
Foundation
K-12 School
National nonprofit
Post-secondary education institution (non-tribal)
State government
Tribal college or university
Tribal government
Tribally Designated Housing Entity (TDHE)
Other
Type of position you hold in the organization (check all that apply):
Financial education trainer
Finance Officer
Loan Officer
Counselor
Investment advisor
Manager
Staff person
Technical assistance provider
Government official
Lender
Consultant
Other
Select the services your organization provides (check all that apply)::
Personal financial education
Entrepreneurship/small business training
Entrepreneurship/small business technical assistance
Homebuyer education
Individual Development Accounts (IDAs) or other asset building
Housing (mortgage, home improvement, etc.) loan products
Microenterprise loan products
Small business loan products
Consumer (auto, personal, etc.) loan products
Free tax preparation services
Earned Income Tax Credit (EITC) outreach
Investment advice
Youth development
Credit counseling
Public policy/advocacy
Benefits outreach (e.g. TANF, food stamps)
Job training
Technical assistance
Training
Early education, Head Start, etc.
K – 12 education
College credit/degree program
Financial education instructor training
Grant-making
Capital investments
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