Accreditation Application (paid in 2 installments)

Accreditation

Inform USA Accreditation is a five phase process that measures information and referral organizations against industry standards.

Non-Member Price: $4,600

Member Price: $3,100

Let's Get Some Additional Information

Please complete the requested information below to finish adding Accreditation Application (paid in 2 installments) to your cart.

Date form is completed:

First time Accreditation? or Reaccreditation? Is your organization applying for a first time accreditation, or a re-accreditation?

Agency/Organization Name:

Legal Status

The year your organization was incorporated: If you are a government entity, you can skip this question.

Primary Type of I&R Please indicate which area your organization focuses on MOST. If you do multiple types of I&R, please indicate that in the next question.

Name of Information and Referral program:

City and State/Province of I&R program:

The year your program was established: Note: Only applicable if different than the date the organization was incorporated.

Your I&R program's website:

Estimated annual I&R program budget: Gold or Silver applicants must indicate their annual budget.

# Contacts/year (calls, emails, texts, chats or walk-in)

Geographic area served:

Number of I&R Staff

What software do you use for your resource database?

Population of area served: Note: Please use the following website(s) to obtain this data - United States (www.census.gov) and Canada (www.statcan.gc.ca)

Why is your organizational seeking Accreditation? Please select all that apply.

Do you hold any other Accreditations? Please select all that apply.

Lead Contact (full name): Must include at least one point of contact. It is highly recommended to have a secondary.

Lead Contact (job title):

Lead Contact (email):

Lead Contact (phone number):

Alternate Contact (full name):

Alternate Contact (job title):

Alternate Contact (email):

Alternate Contact (phone number):

Database Contact (full name):

Database Contact (email):

Resource database maintained by another entity?

If externally maintained, please list name here:

Is that organization Accredited by Inform USA?

Accreditation Payment Preference How would you like the invoice to be set up? *For Inform USA members, we offer the ability to split the cost of Accreditation into two payments of $3,100 each; one installment must be paid prior to starting the process.

Consultation Agreement: I agree, on behalf of my organization, that I have read and agree to the Accreditation Agreement and have informed my Board President (or equivalent) about this application.

Name of person completing Application & signing Consultation Agreement:

Quantity: Add to Cart

Accreditation Application (paid in 2 installments)

Accreditation

Let's Get Some Additional Information

Please complete the requested information below to finish adding Accreditation Application (paid in 2 installments) to your cart.

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