Non-Profit Organization Assistance Application

Organization Name(Required)

Name and Title(Required)

Name Title

Organization Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Website(Required)

Are you 501(c)3 social service agency?(Required)

Yes

Application Date(Required)

Please provide your Tax ID number.(Required)

Please confirm that 75% (or more) of your clientele are at or below the poverty level.(Required)

Yes

No - Not currently eligible for C2C Funding. Connecting to the Community Funds are restricted to organizations that serve populations at or below poverty level.

Please provide supporting documentation.(Required)

Drop files here or

Max. file size: 512 MB.

Comments

This field is for validation purposes and should be left unchanged.