ORGANIZATION APPLICATION

Please note that organizations who do not fill out the application completely will not be selected or reviewed. Thank you for your time and effort!

Organization Name

Name

First Name

Last Name

Title

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you a 501(c) organization?

Yes

Organization Website

http://

What is your organizations mission?

What makes your organization unique?

If chosen, what would you do with the funds?

Does your organization have any special events, awareness days or campaigns coming up within the next 6 months?

How would you promote a campaign with Make It Count?

i.e. number of emails you will send, social media posts, press releases, etc.

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