Digital, education & community · Referral form

Nonprofit Participant Referral Form Template

Give referred participants, volunteers, and supporters a privacy-conscious way to introduce themselves and explain what they need. Every block is editable, and the finished form uses ResponseMint's focused respondent experience.

7 pages8 answer fields3 min typical completionFree to customize
No card required. Every block stays editable.

The form itself

Blocks included

These are the exact starting questions and content blocks that will appear in your ResponseMint workspace.

  1. 01
    Short answer · Grouped page

    What is your name?

    Required
  2. 02
    Email · Grouped page

    What is your email address?

    Required
  3. 03
    Multiple choice

    How did you hear about us?

    • A friend or family member
    • A professional referral
    • An existing customer
    • Online
    • Other
    Required
  4. 04
    Short answer

    Who referred you? (optional)

  5. 05
    Dropdown

    Which service interests you?

    • Community program
    • Volunteering
    • Donation
    • Support service
    Required
  6. 06
    Long answer

    What would you like help achieving?

    Access a program, Find a volunteer role, Support a cause, Build a partnership

    Required
  7. 07
    Multiple choice

    How should we contact you?

    • Email
    • Phone
    • Text message
    • No preference
    Required
  8. 08
    Yes or no

    May the nonprofit organization contact you about this request?

    Required

Make it yours

Start close. Edit freely. Publish confidently.