Ben & Jerry’s Social Mission Form Application for Benefit Nights

Benefit Night Overview

Please allow up to 10 business days between submission and preferred date. For example if today is the 15th you will want to pick a date on or after the 26th. It is checked weekly on Tuesday afternoon. Should you need something faster please email community@iccbenjerry.com. In shop benefit night: come in and fundraise and a percentage of sales are donated to you. Please note benefit nights are ONLY available Monday through Thursday. Any other request for Friday through Saturday will be denied. (NORTH CAROLINA COLLEGIATE ORGANIZATIONS ARE EXEMPT)
Are you a nonprofit?

yesno
What type of organization are you?*
If others, please specify:
Are you nonpartisan?

yesno
Closest City To You*
Organization name (and link if available):
Contact name and title:
Contact phone:
Contact e-mail:
Ideal Date of Event (We host Monday -Thursday)*

MonthDayYear
Please give us 3 alternative dates, in case that slot is filled.*
How many attendees do you anticipate for your event? *
What time would you like to arrive, if you already know. Benefit Nights happen in 2 hour slots.

:HourMinutesAM/PM Option
Please describe the mission of your organization in 2-4 sentences. How does it strive to advance diversity, equity, and inclusion?
In which of the following issue areas does your organization work?*
How will the raised funds be used and who will benefit from it?
How will you promote your Benefit Night? (Select all that apply)*

Social Media PostsEmail NewslettersFlyers/HandoutsOther
Any additional information about your organization you would like Ben and Jerry's to know about?
What is Name of person the check should be made out to?
What is the full physical address to send the check to?
How did you find out about our Benefit Night Program?
If other please explain
"I acknowledge that Benefit Nights are only available Monday through Thursday."*
Should be Empty:

Benefit Night Overview