Community Partner Registration Organization DetailsOrganization Name*Website* Contact Name* First Last Contact Email* Contact Phone*Does your site have a secondary Point of Contact? Yes Secondary Contact Name First Last Secondary Contact Email Secondary Contact PhonePrimary Service Location* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Is the primary service location within walking distance of CNU Campus?* Yes No Does your organization have another service location? Yes Second Service Site* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Is the second service site within walking distance of CNU Campus?* Yes No Organization Description*Application Link Upload Organization LogoAccepted file types: jpg, png, Max. file size: 500 MB.Upload a Social Media ImageMax. file size: 2 MB.1080x1080px max and 600x600px minSpecial Restrictions/RequirementsChoose the Service Track that best aligns with your organization.* Aging Arts & Culture Civic Engagement & Social Action Community Development Environment & Animals Gender & Sexuality Interest Health Related Hunger & Housing International Interest Youth Development & Education This field is hidden when viewing the formOld question Aging Art & Culture Civic Engagement & Social Action Community Development Environment & Animals Gender & Sexuality Interest Health Related Hunger & Housing International Interest Youth Development & Education Setup Community Partner AccountEmail*The email that will be associated with the account, it may be different from the contact email. Account Username*Account Password* Enter Password Confirm Password