Non-profit Organization Questionnaire

NTLC will work diligently to meet specific needs of your organization. By answering the questions below, we can quickly identify potential solutions to problems or provide one of our services to help you accomplish your goals. We value you as a prospective partner so give us a chance to help. THANK YOU for visiting our site.

Name of Organization
*Your Name
Mailing Address
Mailing Address 2
or Region
Zip Code
Day Phone Number
Fax Number
*Email Address
Are you in need of a solution for your agency?
Need someone to implement a community program?
Do you need a personal coach?
Do you need to standardize work processes?
Do you need to grow leadership skills?
Are you in need of a motivational speaker?
Do you need a team building workshop?
Do you have a budget?
Do you need someone to provide interpersonal consultation?
Do you need strategy development help?
How soon do you need our help?
How long do you require our services?
When can you meet with us?  
Describe the scope of your need.

What does the “real” problem seem to be in your organization?

Describe your training needs.

What questions do you have for us?

How did you hear about us? 
Internet        Mail Flyer         Friend        Sales Call
Additional Comments or Questions

* = required fields 



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Nehemiah - The Leadership Company
P.O. Box 39416
Greensboro, NC 27438

Office: 336-574-3737
FAX: 336-676-8899

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