Interest of Shared Space Submission Form

Please note that this shared space is open to ActionDignity’s member organizations only. Please submit your interest by April 24. Thank you!

Organization Information

Legal Name of the Organization *

Operating Name (if different)

Charitable/Nonprofit Number (if applicable)

Website/Social Media

Address

Primary Contact Person

Title/Role

Phone

Email

Organizational Mandate and Communities Served

Briefly describe your mandate and core programs (200 words)

0 of 200 max words

Communities you serve

Alignment with ActionDignity

How does your organization’s work align with this vision and approach? (200 words)

0 of 200 max words

What shared values or approaches does your organization promote? (eg: anti-racism, equity, diversity, policy and advocacy, systems change)

Interest in Co-Location

Why are you interested in co-locating with ActionDignity? (eg: subsidized rent, collaboration, shared resources, interest in systems change work) (200 words)

0 of 200 max words

Space and Operational Needs

Please describe your space and operational needs (type of space, number of offices, private office, meeting rooms, storage needs, tech needs) (500 words)

0 of 500 max words

Typical days/hours you would be on site (weekdays, weekends)

Program use of space (1-1 support, small group workshops, drop-in services, community meetings, AGM etc)

Contribution to the Shared Space

How would your organization contribute to the shared space? (sharing knowledge, joint grant writing, joint initiatives)

Are you open to attending quarterly, bi-annual meetings with ActionDignity, and learning and professional development?

Financial and Administrative Considerations

What is your monthly budget for space and overhead costs?

Are you open to cost sharing for shared services (reception, internet, printing, kitchen supplies etc.)

When would your organization be ready for moving into the shared space?

Additional Information

Please share any other additional information that is important for your co-location with ActionDignity (200 words)

0 of 200 max words