Application Form

Before filling out the form please review the selection process to make sure you qualify for IMS Community. Preference will be given to applications that are filled out as completely and accurately as possible.

Please complete all required fields.

1. I Am Requesting the following Products or Services:  IMS SiteManager (includes hosting, design, and content management tools)  E-marketing solution

2. Organization Name:

3. Level in organization:  National  Statewide  Regional  Local

4. Contact Name:

5. Position or Title:

6. Street Address:

7. City:

8. State:

9. Zip Code:

10. Email:

11. Telephone:

12. Number of Full Time Staff:

13. Number of Volunteers:

14. Number of Members (if applicable):

15. Approximate Number of Constituents Served (if applicable):

16. How did you hear about IMS Community?

17. Do you have a current Web site? If yes, please add URL (ex. www.ims.net):

18. How do you make edits to your current Web site?

19. Do you have a point person on your staff who will take responsibility for your Web site? (In the short term, this person would provide IMS with any logos or images we required, be responsible for writing and compiling content for the site, and be available for training. In the long term this person would be in charge or delegate responsibility for keeping the site updated.)

20. What is your current Web site budget for this year? (including hosting, any maintenance or developments costs, and other fees):

21. What is your proposed Web site budget for the following fiscal year?

22. Briefly describe your goals for the site:

23. If you are applying for IMS SiteManager please complete an outline for your proposed site and determine Section (Top Level) Navigation buttons? IMS usually recommends 5-8. List them here. (Ex. About Us, Services, Locations, Contact Us, etc) Array

24. What are your design requirements for an IMS SiteManager solution?  A stock design would be fine  We require a custom design, but have no budget allocated for it.  We require a custom design, and could pay for it. ($1995)

25. If you chose the stock design option, which design style and color choice would you prefer? (See IMS SiteManager Portfolio for options.)

26. If you have an existing Web site please describe any technical details that might be relevant? (ie. What platform? Any existing database integration, mailing lists, or other special site features?)

27. Please list any additional information you think may be helpful in determining your eligibility:

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