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Inclusivitea Organization Application
None of these answer choices automatically qualify or disqualify your organization from being our organization of the month. This form is for us to get to know you better and to reach out if we want to partner with you.
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* Indicates required question
Email
*
Your email
Organization name
*
Your answer
Date
MM
/
DD
/
YYYY
Organization website link (social media also accepted)
*
Your answer
Email address for contact purposes
*
Your answer
To what name should we address contact emails?
Your answer
What purpose does your organization serve?
*
Your answer
Is your organization a nonprofit?
*
Yes, a 501(c)3
Yes, a 501(c)4
No
Other:
What area does your organization serve?
*
Herndon
Herndon-Reston area
Northern Virginia
Statewide
National
International
Other:
Do you represent a chapter or a whole organization?
*
Chapter
Individual organization
Other:
Does your organization have a parent organization, like a charity, a business, or a place of worship?
*
Yes
No
If so, what is that organization?
Your answer
How does your organization represent InclusiviTea's values of community and diversity?
*
Your answer
Please select one or more qualities you'd like your custom tea blend to have. This gets us started on designing it. (These can be changed later!)
Black
Oolong
Green
Herbal
Caffeinated
Decaffeinated
Floral
Fruity
Sweet
Spicy
Minty
Other:
If there is any other information we should know, please share below.
Your answer
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