Company Questionnaire

The more information you provide about your company, the more precisely we can match you with a local nonprofit. Your answers will NOT be shared with anyone without your written permission.

Contact Information
Business Name *
Name * Title First Last Suffix
Title

Your position in the company
Web Site
Email
Preferred Phone - (###) - ### ####
Alternate Phone - (###) - ### ####
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Company Information
Business Category

Choose the category that most closely describes your organization
If other, please specify.
Business Mission, Purpose and/or Goals
Year Founded
Annual Revenue < $100K $100K - $500K $500K - $1M $1M - $2.5M $2.5M - $5M $5M - $10M >$10M
Most recent year available.
Customer/Associate Database None < 1000 records 1000 - 5000 records 5000 - 10,000 records > 10,000 records
List of names and contact information for donors, volunteers and/or constituents.
Number of Full-Time Employees None 1 - 5 6 - 10 11 - 25 > 25
Number of Part-Time Employees None 1 - 5 6 - 10 11 - 25 > 25
Number of Customers/Clients (annually) None 1 - 5 6 - 10 11 - 25 > 25
Check the resources you could make available to a nonprofit partner. Cash Donation Use of Facilities Matching Gifts Event or Project Sponsorships Website Facebook Page Twitter Account YouTube Account Other Social Media Account(s) Company Newsletter Business Expertise Employee/Staff Volunteers Other
If other, please specify.
Check the resource you would like a nonprofit partner to provide. Website Facebook Page Twitter Account YouTube Account Other Social Media Account(s) Volunteer Opportunities Events and Activities Access to Donors and Constituents Logo Display Opportunities (website, stationery, signage, etc.) Access to Board Other
If other, please specify.
Nonprofit organizations that your company currently supports.
Would you like to receive pertinent emails from Propinquity LLC? You may opt out at any time.
Yes No

Company Questionnaire

Company Questionnaire

Contact Information

Company Information