Initial Assessment Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *What are your personal goals working with Empowered Giving?Giving History: What organizations have you been donating to on a regular basis. You may includes amount of donation or not.Areas of InterestGlobalNationalLocalFocus of InterestAll Charitable EntitiesOnly 501(c) CharitiesCategory of Interest (mark any that appeal to you)ChildrenSeniorsMedical/HealthReligiousSocial ServiceGenderEnvironmentVeteransAnimal RightsHuman/Civil RightsNaming Opportunities (Capital Campaigns)Memorial GiftsWhat areas/categories would you be interested in exploring?Is a personal visit to a local organization of interest to you?YesNoMaybeIs an opportunity for a “Hands on” experience of interest? RegularlyOccasionallyNoIn your charitable giving approach, would you prefer to donate...MonthlyQuarterlyAnnuallyWould you be interested in Empowered Giving handling correspondence within the Charities selected?YesNoMaybeSubmit