Client Questionnaire

You Can Start Your Nonprofit Now! We Have a Few Questions.

The information you provide on this form will be used to complete the I.R.S. 501c3 application. Nonprofit Navigator keeps your information confidential.

Form Login Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish here is only for this form.

It's Easy to Get Started with our online form. You can always save your answers and come back to finish later by creating an account. We Promise It's Easy!

How did you hear about Nonprofit Navigator?

Who referred you?

Have you chosen a name for your organization?

Yes

No

What is the name?

* Have you Incorporated your Nonprofit?

Yes

No

* In which State did you Incorporate?

Contact Person

* First Name

* Last Name

* State

* Phone Number

* Email Address

Please email me updates

* Does your organization have an EIN number?

Yes

No

I'm not sure

Our EIN Number is:

* Does your Nonprofit have a website?

Yes

No

Our website address is:

What type of Nonprofit are you forming? Please check all that pertain.

Please give us a brief summary about the purpose of your organization.

* Has your organization visited and/or plans on visiting countries outside the United States?

Yes

No

What countries have you visited?

What countries do you plan to visit in the future?

* How does your organization plan on raising funds?

* Do you believe your Nonprofit will make more than $10,000 per year for any of the next 3 years?

Yes

No

How much do you believe your organization's income will be in:

	2010	2011	2012
This is only an estimate.

What do you anticipate your expenses to be in the first year?

	The IRS will require funds to go towards your mission.
Your Mission
Operating expenses
Specific Programs
Other

THANK YOU

This Ends our Client Questionnaire about your Nonprofit Organization.

Please click the submit button below

* Indicates Response Required

Google	Twitter
Facebook	Linkedin
Post card	Referral

Adult Daycare	After School Center	Arts
Animal Welfare	Child Advocacy	Church
Community Outreach	Counseling Center	Disaster Relief
Domestic Violence Shelters	Educational	Elderly Services
Environmental	Equine Organization	Foreclosure Assistance
Financial Assistance	Health Related	Historic Preservation
Housing	International Aid	Literacy
Ministry	Mobile Clinics	Performing Arts
Private Foundation	Public Safety	Recreational
Religious	Research	School
Scientific	Shelter	Sports
Transition Housing	Veteran and Soldier Support	War Relief
Womens Advocacy	Youth	Other

Mail solicitations	Phone solicitations
Personal solicitations	Email solicitations
Community grants	Government grants
National grants	Website donations
Community Fundraisers	Other