iHeart Port A Nonprofit Partner Interest Form
Organization Information
Name of Organization
*
Primary Contact
*
First Name
Last Name
Title
*
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website & Social Media Links
*
How long has your organization been serving the Port Aransas community?
*
About Your Organization
Tell us about your organization’s mission and the work you do.
*
What are some of the ways your organization has made an impact in the Port Aransas community?
*
Examples: number of people served, programs offered, community improvements, stories of impact
What is one story, person, or moment that best represents the impact of your organization?
Does your organization have upcoming initiatives, events, or programs you would like to highlight?
Are you comfortable participating in campaign storytelling opportunities (photos, videos, interviews, social media features)?
*
Yes
No
Maybe
Please share any additional information you think would help us better understand your organization.
Submit
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