general information
Name of your organization
*
EIN (Employer ID Number)
Your organization's URL:
*
What is the closest Zipcar city that your organization serves?
Please Select
Atlanta
Austin
Baltimore
Boston
Chicago
Dallas
Denver
Detroit
Houston
Los Angeles
Miami
Milwaukee
Minneapolis
New York
Philadelphia
Pittsburgh
Portland
Providence
Sacramento
San Diego
San Francisco
Seattle
Toronto
Vancouver
Washington DC
Contact's first name
*
Contact's last name
*
E-mail
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Address 1
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Address 2
City
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State / Province / Region
*
Zip / Postal Code
*
Phone Number
*
tell us about your organization
1. Does your organization currently have a zipcar account?
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Yes
No
If so, can you please provide a Zipcard number of a member on the account:
2. What is the focus of your cause?
*
Please Select
Access to Healthcare
Educational Programs
Hunger Relief
Environmental Intervention
Employment Assistance
LGBTQ
Other
Other
3. Please provide a brief description of your organization (please include your nonprofit’s mission, the # of years in operation, number of employees and, if applicable, the estimated number of people that you serve)
*
4. How can Zipcars further your nonprofit’s mission? (please include how the cars would be used)
*
5. In a given month, how many hours of free driving do you anticipate your nonprofit needing? (please include when you would anticipate the highest usage, e.g. M-F or weekend)
*
6. How is the impact of your work measured? (e.g. # of meals, # of patients treated)
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7. Can Zipcar’s community of members and employees support your organization through volunteering?
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Yes
No
8. How can Zipcar's community help your organization through volunteerism?
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