Pro Bono Services Application
Section 1: Organization Information
Organization Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Website
*
Organization Contact
*
Contact Job Title
*
Phone Number ( please include extensions if applicable)
*
E-mail
*
What is your organization’s mission? What is your area of focus?
*
When was your organization founded?
*
Describe the community impacted by your organization. Who and about how many people does your organization serve?
*
How many people are involved in running the organization? (Numbers of Board/Staff/Volunteer members) Does your organization have a board?
*
Does your organization have a strategic plan in place?
*
Yes
No
If yes, please copy and paste any "strategic plan"supporting documents.
*
Please tell us about your organization’s budget. How is the organization funded? How has the budget changed since the organization was founded? What is the current annual budget?
*
What are some of your organization’s most recent accomplishments?
*
How did you hear about HandsOn Tech Atlanta/springBoard?
*
Back
Next
Section 2: Requirement Questions
Are you classified as a 501(c) (3) organization, under the fiscal sponsorship of a 501 (c) (3), a program of a 501 (c) (3), or a public school?
*
Yes
No
Does your organization serve the Metro Atlanta low-income community?
*
Yes
No
Does your organization serve any international beneficiaries?
*
Yes
No
Do you accept volunteers regardless of race, ethnic origin/nationality, religious affiliation, gender, sexual orientation, age and disability?
*
Yes
No
Does your organization provide comprehensive general liability insurance in the amount of $500,000 per occurrence and $500,000 aggregate at a minimum?
*
Yes
No
Back
Next
Section 3: Project Description
Why do you want to participate in the springBoard program? What are some of your organization’s needs? How can pro-bono services help your organization?
*
Based on your organization’s needs, please describe the project you would like most to be completed.What are the deliverables and timeframe for your project?
*
Does your organization have the ability to work effectively with volunteer team? Please tell us about your experience with any past skills-based volunteers. Were they able to help you meet your needs? Please explain.
*
Does your organization have the institutional capacity, including qualified staff, to successfully undertake the proposed project?
*
Yes
No
Please explain. How many and who are the qualified staff? How much time can they commit to this program weekly?
*
Is there anything you need to complete before this project is started? (Approval, wiring in the building, etc.)
*
Does your organization have a clear internal project lead who can dedicate the necessary time per week to the project through its completion to facilitate scheduling, information gathering and decision making?
*
Yes
No
Who would that be and what is his/her title?
*
What will be the impact and the significance of the accomplishments of this project in the community?
*
Do you have enough resources to complete the project you are requesting and maintain the deliverables after the project is complete?
*
Submit Form
Back
Next
Click to edit
Upload a File
Cancel
of
Should be Empty: