Language
English (US)
Company Name as you wish it to appear online or in print:
*
Website:
Address in North Texas:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CEO/President Name:
*
First Name
Last Name
CEO/President Email:
*
example@example.com
CEO/President Office Phone Number:
*
CEO/President Cell Phone Number:
Executive Assistant Name:
First Name
Last Name
Executive Assistant Email:
example@example.com
Executive Assistant Phone Number:
Be In Good Company Primary Contact Name:
*
First Name
Last Name
Be In Good Company Primary Contact Title:
*
Be In Good Company Primary Contact Email:
*
example@example.com
Be In Good Company Primary Contact Office Phone Number:
*
Be In Good Company Primary Contact Cell Phone Number:
1. How many of your employees work in the North Texas region?
*
2. Do you have an employee (s) dedicated to Corporate Social Responsibility or Community Engagement?
Yes, full time
Yes, part time
We have a committee
No
Other
Would you be interested in learning more about gifting a membership(s) to a small business or sponsoring participation for a small business?
Yes
No
3. We are committed to making a difference in the community through the Be In Good Company Pillars of Excellence as described on the website.
*
Yes
No
I have questions about the Pillars of Excellence
4. Company Description (Note: this may appear online or in print):
*
5. If you have a goal or vision/mission for your community engagement or corporate giving, please include that information here:
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6. Please provide any additional commentary to your company's efforts to do good in the North Texas community.
*
7. Is there any area of Corporate Social Responsibility (community or employee engagement, corporate giving, etc.) that you are interested in receiving information, support, and/or consultation from us? We're here to help!
*
8. What sectors are you engaged in?
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Animals
Arts and Culture
Economic Security
Education
Environment
Equity and Inclusion
Health
Human Services/Social Services
Older Adults
Veterans
Youth
Other
9. Is there a specific area of interest for your company’s community engagement or corporate giving (i.e. geographic region, issue or topic, internal and/or external demographic, and/or employee engagement goal)? Please share as much as you wish.
*
10. Please check the box if your company has any of these policies in place:
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Volunteer Time Off Policy
Employee Donation Matching Program
Dollars for Doers
Diversity and Inclusion Policy
Other
If you selected "other" above, please provide details below.
11. Please add any relevant website or media links to stories that capture your work in the community.
*
12. Please upload files/images that showcase your efforts to do good in the North Texas Community.
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Choose a file
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13. Please upload your company's High-Resolution Logo.
*
Browse Files
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Choose a file
Your company logo will be added to the Be in Good Company listing for this year and your logo maybe used in other digital media related to the program.
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of
14. Is there any area of Corporate Social Responsibility (community or employee engagement, corporate giving, etc.) that you are interested in receiving information, support, and/or consultation from us? What specific areas/upcoming goals do you need assistance with? We're here to help!
I understand the elements of the Be in Good Company program, and I am submitting this application in good faith, acknowledging that we meet the outlined requirements.
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Agree
Do you commit to paying the Be In Good Company participation fee?($1,000)
*
Yes
How would you like to pay the $1,000 participation fee?
*
Credit card
Check
Wire/ACH
Note: We will contact you with a payment link once your application has been reviewed and approved.
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