Charity of the Month Application

* Indicates a required field

Organization Name

Address

City

State

Zip Code

IRS Tax Exempt ID Number

Website/Facebook

First Name

Last Name

Title

Phone

Mission Statement

Amount your organization raises annually

Percentage of funds that go to administrative costs versus program costs

Why would you like to be considered for the Stevens Charity of the Month program?

Please describe how you would use the donation.

How would your organization promote the partnership?

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Charity of the Month Application

Stevens Ford Community Webpage Application