REI Cooperative Action Fund + Resilia
Program Opt-In Form

About you

First name*

Last name*

Email*

Role / Title in Organization*

Other Role / Title

Phone number*

Can we share your contact information with other members of the cohort?

About your organization

Organization name*

Website URL

What is your primary service area?*

Important Note for the following question: BIPOC-led organization is defined as: The organization is led by a person of color, at least 51% of the Board of Trustees are people of color, at least 51% of directors and executive management are people of color.

Board and Staffing

Number of Board Members

Number of Paid Staff (Full Time)

Number of Paid Staff (Part Time)

Number of Volunteers

How can we best support you?

Please select the primary priority you would need to solve for in the next 3-6 months?*

Please select the secondary priority you would need to solve for in the next 3-6 months?*

Please select a third priority you would need to solve for in the next 3-6 months?

Thank you! Please click "Submit" to complete.

REI Cooperative Action Fund + ResiliaProgram Opt-In Form

REI Cooperative Action Fund + Resilia
Program Opt-In Form