PHFive K Charitable Partner Application

1. Organization name *This question is required.

2. Address *This question is required.

3. Address 2

4. City *This question is required.

5. State *This question is required.

6. Zip Code *This question is required.

7. Organization Tax ID Number *This question is required.

8. Contact Person *This question is required.

9. Contact Phone *This question is required.

10. Contact Email Address *This question is required. This question requires a valid email address.

11. Organization Website *This question is required.

12. Has your organization been in operation for at least 1 year as of January 15, 2019? *This question is required.

13. Could your non-profit provide a minimum of 5 volunteers on the day of the event for a minimum of 5 hours? *This question is required.

14. Could your non-profit provide one main point of contact that would be available from February - September to attend regular planning meetings? *This question is required.

15. How does your non-profit help those living in the region? *This question is required.

16. How would a donation help your non-profit? *This question is required.

17. How would your non-profit promote this event? *This question is required.

18. Please attach proof of your organization's 501(c) (3) status *This question is required.

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