Membership Application Foundation General InformationI am a*New MemberReturning MemberFoundation Name*Contact Name*Email* Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*FaxWebsite Facebook Twitter Blog Please select which grantmaking priorities and interests apply to your work:Check all that applyArts & Humanities access to underserved arts service organizations arts education museums/humanities organizations performing arts public art Arts & Humanities: Other (please specify)Health clinics/community health centers obesity prevention domestic violence HIV/AIDS hospitals long-term care medical research mental health oral health prevention and wellness public health substance abuse prevention/treatment underinsured/uninsured Health: Other (please specify)Community Services adoption/foster care affordable housing animal-related civic engagement civil rights community vitality economic/community development family services homeless services hunger/nutrition immigrant services/rights leadership development legal services nonprofit capacity/management public safety recreation/sports religious senior/aging services international aid Community Services: Other (please specify)Education grade-level reading college-readiness dropout prevention early childhood development English as a second language life skills training literacy out-of-school time public/charter schools scholarship programs STEM (science, technology, engineering, math) workforce development youth employment Education: Other (please specify)Environment environmental conservation food/agriculture green practices/recycling Environment: Other (please specify)Which types of support do you provide your grantees? (Check all that apply) advocacy capacity-building capital campaigns emergency funds general operating loans/program-related investments program/project-specific community leadership challenge grants Support: Other (please specify)Where do you fund?Grant Summary (Note: data will only be shared in the aggregate.)Total AssetsTotal Amount in Dollars of Grants Made in the Previous Fiscal YearGrantmaking Dollars Awarded in Iowa in the Previous Fiscal YearGeographic Focus for GrantmakingOther MembershipsWhat other associations do you belong to that are related to your grantmaking work? Council on Foundations Association of Small Foundations Grantmakers for Effective Organizations Independent Sector National Center for Family Philanthropy National Affinity Groups (Grantmakers in Health, Grantmakers in Education etc.) Other Associations (please specify)Staffing: Please indicate the number of positions in your organization that are:Full-time Equivalent (FTE)Part-time StaffIntern positionsMembership Meetings & Program IdeasWhat educational programming topics would you like to see in the future?Are there any organizations or speakers that you would recommend for ICoF educational programming?In an effort to provide you with programming to meet your needs, ICoF is accepting sponsorships for specific topics and speakers. Please indicate if your organization would like to bring a program to Iowa and ICoF will coordinate with you on the programMeeting Host Interest: Please consider supporting the work of the ICoF by hosting a Membership Meeting in FY17!*Please contact me regarding hosting a membership meeting ON site (providing refreshments, lunch, meeting space)Please contact me regarding hosting a membership meeting OFF site (providing refreshments, lunch, meeting space in a centrally located community)No, thank you.ICoF Membership DuesPlease mail checks to Iowa Council of Foundations at 6919 Vista Drive, West Des Moines, IA 50266. If you need an invoice, please contact Kari at email@example.com.ICoF Annual Membership Dues: $350Additional Financial SupportAs we grow the impact of philanthropy in Iowa, ICoF members often choose to provide additional support for our collective work. Thank you for considering this opportunity to help ICoF meet its mission on behalf of all members.Additional SupportAdditional Support For:ICoF OperatingICoF Membership MeetingICof Foundation Openness CohortIowa Council of Foundations Non-Solicitation PolicyICoF seeks to create a community of shared inquiry characterized by mutual respect and trust. ICoF is committed to providing a forum for professional networking and education, therefore we ask that all registrants respect the learning environment and refrain from soliciting funds or business at ICoF events. The foregoing is not intended to stifle networking, collaboration, learning or special programs offered to the membership by ICoF. It is intended to maintain a comfortable, respectful atmosphere in which professional relationships can be maintained and fostered. * Click here to acknowledge your understanding of and commitment to ICoF’s Non-Solicitation Policy. Is there anything else you would like to share with ICoF?