Back to School Community Bash Nonprofit Application

Back to School Community Bash Nonprofit Application

Apply to join us at the 5th Annual Back to School Community Bash, hosted by Jay Mack Community Foundation—submit your organization details and requirements.
Organization Information
Organization Name
EIN
Is your organization a registered 501(c)(3)?
Organization Website
Organization Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Social Media Links
Primary Contact Information
Primary Contact Name

First NameLast Name
Title
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Mission and Service Details
Mission Statement
Description of Programs and Services
Target Population Served
Counties Served
Nonprofit Documentation and Branding Uploads
Nonprofit determination letter

Cancelof
Organization logo

Cancelof
Event Participation Needs
What resources or giveaways will your organization provide?
Will you distribute school supplies?
Do you need electricity access?
Table and chair requirements
Number of representatives attending
Interested in raffle items or sponsorship
Special accommodations requested
Agreements and Submission
Agreement to Event Rules

Other
Photo and Video Release Acknowledgment

Other
Digital Signature
Date Signed

MonthDayYear
Date
Should be Empty: