Partners With

Nonprofits Apply Here!

Please read the selection considerations and if you qualify apply below or download the application as a PDF fill it out and then upload it below. The application entry period has been extended to September 16th, 2010 at 4:00PM, HURRY!!!

If you have trouble uploading your application please use the contact form here to let us know and we'll get it worked out!

Upload Application Completed Offline

OR

Complete Application Online

Organization Name: *
Address: *
Phone Number: *
Website:
Executive Director: *
Primary Contact Name: *
Primary Contact Title: *
Primary Contact Phone: *
Primary Contact Email: *
Description of Needs: *
Is your organization qualified as public charity under Section 501(c)(3) of the Internal Revenue Code? *
Yes
No
Federal Employer Identification Number (EIN): *
Organization’s Mission: *
Organization Background/History (250 words or less): *
Please list your organization’s key programs, highlighting each program with one-sentence descriptions: *
Please describe the population your organization serves (250 words or less): *
Please describe your current IT infrastructure and staff support (250 words or less): *
Please list staff assignments for the implementation and maintenance of this project. Consider all staff members who will be involved (for example, marketing, development, IT, etc.). (500 words or less): *
What impact will result from the completion of your proposed project? How will you measure your success? (500 words or less): *
If selected as a Code4aCause recipient, how do you plan to sustain the results of the project you described above? Consider ongoing staff assignments and financial implications. (250 words or less): *
Board of Directors list on your organization’s letterhead: *
Most recent financial statement: *
Organization’s current annual budget: *
Electronic brochures or other informational materials (encouraged but not required):
Statement of Commitment: *

Nonprofits Apply Here!

Upload Application Completed Offline

OR

Complete Application Online

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