Affiliate Inquiry COCO Affiliate Inquiry Affiliate Inquiry If you are human, leave this field blank. Your First Name * Your Last Name * Group or Organization Name * Your Position/Title * Email * Phone * Organization's Address Organization's Address (Address Line 1) (Address Line 1) (Address Line 2) (Address Line 2) City City State/Province State/Province Zip/Postal Zip/Postal Organization's Website or social media page URL (if applicable) What is your organization's mission statement? (If you have not created one yet, what are the goals of your organization?) * Is your organization an established 501(c)3? * Yes No What stakeholders are you currently working with (agencies, groups, and organizations)? * Are you completing boots-on-the-ground work to support a healthy ecosystem? (i.e. watershed/river restoration, forest restoration/mitigation, trail building, etc) * Yes No Please explain your work (past, current, and future projects) * Do you currently involve your local community and voluntary support? * Yes No reCAPTCHA Submit
