Enroll an Organization

Organization Name *

Street Address *

Street Address 2

City *

Zip Code/Postal Code

Your Organization's Website

County *

Organization Type
(Church, Business, etc) *

What is your name?

First Name *

Last Name *

What is your email address? *

What is your phone number? *

Implementing Partner Opt-In

Opt In for notifications from 4KIDS of South Florida

Demographics

Organization EIN Number
(Can be added after enrollment)

Affiliation
Denomination or network

Average Organization Attendance *

Organization Location Type *

Economic Conditions *

Number of Employees / Members *

Annual Revenue *

Age of Organization *

Do you have a Corporate Social Responsibility (CSR) program? *

Do you have an employee gift matching program? *

Questions/Comments

How did you hear about CarePortal? *

Which features of CarePortal are you most interested in? Check all that apply.

Disaster Relief Requests

Child-Centered Requests (prevention, foster care, adoption, youth aging out)

Church Entered Needs

Partnering in the community

Your Organization's Current Point People Admin

Please add at least one (1) point person admin for your organization.

Point People Admins are the only roles that receive notifications for new requests.
Primary Point People Primary Admins is given administrative access to organization’s CarePortal account.
If adding multiple point people Admins, you will need to mark one (and only one) as the Primary Point Person Primary Admin.

Name	Email	Phone	Primary

The remaining steps to activate your organization will be completed by the Primary Point Person.

Your Organization's leaders

Please add at least one (1) leader for your organization.
Leaders do not receive request notifications but are given access to organization’s CarePortal online dashboard.

Name	Email	Phone

Next Steps

You will receive an email confirmation of your enrollment with a way to create your password and access immediate online training. The local expert in your area will be copied on this email and will be in touch with you to discuss how CarePortal is being used to meet needs in your community and help you identify the best way to begin building your organization’s response team.

Who do we serve?

CarePortal serves any child in crisis. Jesus cast the widest net of love, tearing down cultural biases and promoting radical, personal generosity and concern for those in need. With that example, CarePortal brings together diverse constituents – government agencies, churches, businesses, schools, and other ministries – to support children and families in crisis regardless of race, religion, gender, age, sexual orientation, socio-economic status, nationality, political leanings, etc. If we find any of our partners are discriminating against the children and families they meant to unconditionally serve, they will be removed from the network.

I have reviewed and understand this enrollment plan. *

Cannot find your organization?

Your Organization's Current Point People Admin

Your Organization's leaders

Next Steps

Who do we serve?

Organization successfully enrolled

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