1. Do you anticipate needing new office space and/or program space in the next year or two? 
Yes or No

2. Are you looking for
 Additional Space  or Affordable Space?

3. How many square feet do you need:


4. What do you consider affordable rent per square foot? 


5. Do you need?   
 Private offices, if so, how many?
     
Open cubicles, if so, how many?
     
 Conference room?
       Yes or No 
Meeting space? For how many?  

6. Would you consider sharing office resources with other not for profits, such as:   
a conference room?
 Yes or No 

copier? 
 Yes or No

secretarial staff?  
 Yes or No

7. What special needs do you have, e.g. staff kitchen, mail room, or special privacy requirements? 

8. How flexible are you about the location of the space? Check one:  

 Must be between 59th to 96th Streets 
Must be between 96th to 110th Streets
 Non-program space may be further north in Harlem, Washington Heights, etc. 

9. Would you be in a position to purchase a space rather than rent? 
 Yes   or No 

Organization Information

Organization Name:


First Name:

Last Name:


Titlle:


Address 1:


Address 2:


City:


State:


Zip Code:


Telephone Number (include extension if any):


Fax Number:


Email Address:



or