La Crosse Global Connections Directory Form

If you are an organization not yet profiled in the directory please complete all of the questions on this form. If your organization has previously submitted a profile and would like to update the profile, please only update necessary fields.
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First Name
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Last Name
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Email
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Telephone
Address1
Address2
City
State
select
Zip
  
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Is this a new profile or an update to an existing profile of an organization with global connections?

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Name of Organization
Organization webpage:
What is the mission of your organization?
Please give a brief description of your organization and its main areas of focus:
Where does your organization work? (specific cities, states, countries)
Please list some of your organization's accomplishments:
Please list or describe your organization's future goals:
What opportunities does your organization have for volunteer involvment? (please be general, e.g. student internships, volunteer service trips, health care professionals etc.)
Additional Comments:
By checking the below box you authorize the distribution of this information in the La Crosse Area Global Connections Directory.
Security Code
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