New Agency Information Form

If you are a new agency and have never worked with NOMADS before we need you to complete this form.  After completion, one of us will give you a call to follow up with more information.

What is your name?
What is the name of your organization?
What is your affiliation with The United Methodist Church
Main Email

Mailing Address

Mailing Address 1
Mailing Address 2
Mailing City
Mailing State
Mailing Zip
Country

Physical Address
where you are located

Physical Address 1
Physical Address 2
Physical City
Physical State
Physical Zip

Forwarding Address
for NOMADS mail, if different than your mailing address

Forwarding Address 1
Forwarding Address 2
Forwarding City
Forwarding State
Forwarding Zip

Phones/Website

Website
Day Phone
Night Phone
Weekend Phone

About your location

Please describe your location
Altitude if over 3000 feet
Please check here if security is a concern at all
If security is a concern, please explain why
Do you have the neccessary zone permits for RV parking?
Please explain generally your RV Parking Plans
Please review this list of facilities and check all that you have
 Facility
A meeting room is available for use
Internet Access with NO wireless
Internet Access WITH wireless
Laundry facilities are on site
Pets are permitted if kept in RV or on leash
Phone line available
Showers are available for NOMADS use
Toilets are available for use
Please review this list of housing types and check all that you have available
 Housing Facility
Apartment
Cabin
Congregational Member's Home
Dorm Room
Housing may be available. Call agency to confirm.
Motel Room
No Housing Available
Other
Are background checks required for volunteers that work at your location?

Certification and release

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Click here to certify your acceptance of our terms
Please enter your name to certify your acceptance of our terms