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Register

The following form is the entry point for registering your organization as a Community Assets NY Service Provider. Service Providers can request access to submit information into the system's applications by completing this form. For example, Service Providers can add events into the Community Calendar or add volunteering opportunities into the Volunteer Center at no cost. Once this registration form has been approved, you will automatically be listed in the system's Yellow Pages.


  Indicates required fields.

Please note that you can click on any underlined word for more information about filling in a field.

Organization Name:
Other Names Used? Yes  No
If yes, what other names?
Are you registered with the New York, Department of State, Bureau of Charitable Organizations?
If so, please enter your Certificate of Registration Number.
Date your current certificate expires.
Phone Number:    ext.
Secondary Phone Number:    ext.
TDD Phone Number:     ext.
Fax Number:   
Internet Address (URL): http://
Mailing Address 1:
Mailing Address 2:
Resident County:
(click on the Plus Signbelow to display a listing of Minor Civil Divisions)
Albany
  Allegany
  Bronx
  Broome
  Cattaraugus
  Cayuga
  Chautauqua
  Chemung
  Chenango
  Clinton
  Columbia
  Cortland
  Delaware
  Dutchess
  Erie
  Essex
  Franklin
  Fulton
  Genesee
  Greene
  Hamilton
  Herkimer
  Jefferson
  Kings
  Lewis
  Livingston
  Madison
  Monroe
  Montgomery
  Nassau
  New York
  Niagara
  Oneida
  Onondaga
  Ontario
  Orange (Eastern)
  Orange (Western)
  Orleans
  Oswego
  Otsego
  Putnam
  Queens
  Rensselaer
  Richmond
  Rockland
  Saratoga
  Schenectady
  Schoharie
  Schuyler
  Seneca
  St. Lawrence
  Steuben
  Suffolk
  Sullivan
  Tioga
  Tompkins
  Ulster
  Warren
  Washington
  Wayne
  Westchester
  Westchester (City of Yonkers)
  Wyoming
  Yates
Minor Civil Divisions:  
City:
State:
Zip Code:  


Only complete if different from mailing address!

Street Address 1:
Street Address 2:
City:
State:
Zip Code:
 

How to find us/
Parking Instructions:
Main Entrance:
Other Offices
and Locations:
Days & Times
of Operation:
Days & Times of
Regular Meetings:
Meeting Locations:
Mission, Purpose,
& Vision:
Services, Programs,
& Products:
If this organization is a unit, branch or affiliate of a larger
organization registered in Community Assets NY, please choose that
organization's name from the pull down menu.
Please list us in the following community categories (click the category name for the definition):
Animals & Environment
Arts & Heritage

Business

Child Care

Clubs & Groups

Community Action Agency

Education

Federal Government

Health & Human Services

Labor Organizations
Local Government

News and Media

Public Safety

Recreation

Religion

State Government

United Way Member Agency


Counties Served (Check one or more):
(click on the Plus Signbelow to display a listing of Minor Civil Divisions)