Membership Application - Southern Partners Fund

2023 SPF MEMBERSHIP APPLICATION

Southern Partners Fund Mission:
We are a Foundation created to serve Southern communities and organizations seeking social, economic, and environmental justice by providing them with financial resources, technical assistance and training, and access to systems of information and power.

Eligibility:
Southern Partners Fund membership is open to Individuals who are Board members, members, staff and/or volunteers of organizations eligible to be grantee partners of Southern Partners Fund or Individuals who share the same values of SPF.

Name: *

Organization(s): *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Fax Number

Evening Phone Number

Evening Fax Number

How long have you been involved in activities for social change?

What type(s) of social change activities have you been involved in? (Also give name of organization if different from current organization.)

Of the activities you have been involved in, what do you consider to be your strengths? Please be specific. *

Briefly explain why you are interested in becoming a member of SPF. How will you contribute toward the advancement of SPF’s mission, vision and valued principles? *

If selected to be a member of Southern Partners Fund:

What SPF committee(s) are you interested in serving on? (Circle level of interest, with 5 being the highest) See committee descriptions below. *

	1	2	3	4	5
Membership Committee	1Membership Committee 1	2Membership Committee 2	3Membership Committee 3	4Membership Committee 4	5Membership Committee 5
Philanthropic Operations Committee	1Philanthropic Operations Committee 1	2Philanthropic Operations Committee 2	3Philanthropic Operations Committee 3	4Philanthropic Operations Committee 4	5Philanthropic Operations Committee 5
Finance Committee	1Finance Committee 1	2Finance Committee 2	3Finance Committee 3	4Finance Committee 4	5Finance Committee 5
Resource Development Committee	1Resource Development Committee 1	2Resource Development Committee 2	3Resource Development Committee 3	4Resource Development Committee 4	5Resource Development Committee 5
Cultural Committee	1Cultural Committee 1	2Cultural Committee 2	3Cultural Committee 3	4Cultural Committee 4	5Cultural Committee 5

Membership Committee: Responsible for membership administration, membership development, nominations for Membership and nominations for Board Members.

Philanthropic Operations Committee: Responsible for grantmaking, reviewing and evaluating grant applications and technical assistance.

Finance Committee: Responsible for budgeting, obtaining an annual audit and investment management.

Resource Development Committee: Responsible for fund development and constituent relations.

Cultural Committee: Responsible for Cultural Organizing, promoting an understanding of the culture of rural organizing, the culture of rural communities and the preservation of cultural traditions.

Comments

What are your expectations of SPF, as a member? (Ex. Networking, Training, Skill-building, etc.)

Agreement & Endorsement

To be considered for membership to Southern Partners Fund, the applicant must agree to become a nominee.

To become a nominee, a minimum of five (5) hours, per month, of service is required, which includes committee participation, attendance at annual membership meeting and other related activities.

Please sign below if you agree to be considered for membership in SPF.

Nominee's Signature *

(If you would like to add more information about yourself, please attach to the application)

Please fill out Sections A or B below:

A. Organizational Affiliation:

To be considered for membership, the nominee should be endorsed by the organization which they consider to be their primary organization. (Membership is for individual membership, not organizational membership)

Name of Organization

Signature of Person authorized to endorse nominee (Must be Executive Director or Board Chair)

B. At-Large: An individual who shares the same values of SPF; however, is not affiliated with an organization that is eligible to be a grantee partner of SPF:

For a person to apply as an at-large member, they must have three current SPF members send in an endorsement letter. List SPF members who will endorse:

SPF Member 1:

SPF Member 2:

SPF Member 3:

Confidential:

SPF is committed to diversity and asks that you complete the following information (confidential):

Layout

Gender:

Race:

Young Leader

Young Leader (Age 18-35)

Class (income level):

Optional

Sexual Orientation

Optional

Southern Partners Fund

1 Baltimore Place NW, Suite 150
Atlanta, GA 30308
(404) 541-9091
info@southernpartnersfund.org