Membership

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Thank you for submitting to be part of the Leaders of Brickell program!

We appreciate your interest and will review your information as soon as possible.

Our team is dedicated to providing our program to 12 nonprofits this semester, and we will do our best to respond promptly.

If you have not completed your membership yet, please complete by following the link below:

https://www.brickellcommunitychamber.com/products/registered-nonprofit-leadership-level

Nonprofit Organzation Name *

First Name *

Last Name *

Email *

Phone *

City *

Nonprofit Industry Category *

Service Need (Determines Student Selection) *

Referral (if applicable) *

Tell us about your nonprofit mission: *

Primary Goal of Program *

Secondary Goal of Program *

Additional Goals of Program *

Would you like to be an educator in the program as well? (not required) *

Who is the point of contact during the program? *

Are you registered with the chamber yet? *