Organization Information & Background * Primary Contact Information * Primary Contact Email * Primary Contact Phone * (###) ### #### Website http:// Social Media Handle(s) Year Established * Mission Statement * Organizational Background * Current Legal Structure: * Number of Full-time/Part-time Staff Existing Partners or Affiliations Annual Organizational Budget * What is your current space situation and what would you like it to be? * In what ways do you envision contributing to BLACspace’s mutual aid and resource-sharing model? Which of the following areas are you seeking support with? If you answered "Other" to the last question, please specify here What are the top 3 specific challenges or pain points your organization is currently facing? Has your organization ever participated in any capacity-building or coaching programs? If yes, please describe. * What are your organization’s short-term and long-term goals? * Why are you interested in joining BLACspace Cooperative Membership? After a year of active participation, members gain governance rights including board selection and member policies. Please describe your experience with and interest in cooperative decision-making. * Membership operates on a one-year term basis. Are you ready to commit to membership for the upcoming year (May 2025 - May 2026) * Yes No Do you agree with the points of unity? * Yes No Please share a reflection, question or concern about these shared assumptions. * Is there anything else you would like to share that would help us understand your organization’s needs, goals, or fit with BLACpace Cooperative? Thank you!
