Join BXVC : Agency Application

Agency Name *
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Password *
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Agency Website
Contact Person:
The following is the person to contact about this submission
This person will also act as liaison to BXVC
Name *
FirstLast
Email *
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Preferred Phone #
Liaison to BXVC
FirstLast
Please supply liaison contact if different than person named above.
Liaison Email
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Liaison Phone #
Address
Street Address
Address Line 2
CityState
ZIP Code
What fields does your agency provide volunteers in? (Click all which apply.)
Animals
Arts/Culture
Children/Youth
Disaster
Education
Environment
Hunger/Health/Nutrition
Mentoring
Poverty/Urban Development
Seniors
Women
Other
What neighborhoods are you seeking volunteers in?
All Neighborhoods
Allerton
Baychester
Bedford Park
Belden Point
Belmont(Arthur Avenue)
Castle Hill
City Island
Clason Point
Crotona Park East
Co-op City
Country Club
East Bronx
Eastchester
East Tremont
Edenwald
Ferry Point Park
Fieldston
Fordham
Harding Park
Highbridge
Hudson Hill
Hunts Point
The Hub
Kingbridge Heights
Locust Point
Longwood
Marble Hill
Melrose
Morrisania
Morris Heights
Morris Park
Mott Haven
North Bronx
North Riverdale
Norwood
Olinville
Parkchester
Pelham Bay
Pelham Gardens
Pelham Parkway
Port Morris
Randallstown
Riverdale
Schuylerville
Silver Beach
Soundview
South Bronx
Spuyten Duyvil
Throggs Neck
Tremont
University Heights
Van Cortlandt Village
Van Nest
Wakefield
West Bronx
West Farms
Williamsbridge
Woodlawn
Are you a 501(c)(3)?
Yes
No
How many volunteers do you currently utilize annually?
How many volunteers would you like to utilize annually?
Description of what your agency does, who it serves, etc...