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Organization Application
Please fill out the form below if you are a part of an organization that would like to potentially receive donations from our WCSG Community Connection service drive. If your organization is chosen to receive donations, you will be contacted.
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* Indicates required question
Email
*
Your email
Your Name (First and Last):
*
Your answer
Title at Organization:
Your answer
Name of Organization:
*
Your answer
Your phone number:
*
Your answer
What is your relationship to the organization?
*
Founder/Board Member
Staff member
Type of Organization:
*
School
Non-Profit
Church
Social Service
Other:
Organization's mission and/or purpose:
*
Your answer
Organization Website:
*
Your answer
Organization phone number:
*
Your answer
Organization address:
Your answer
What city/area does your organization serve?
*
Your answer
What ages does your organization serve? (choose all that apply)
*
0-5 years old
5-14 years old
15-18 years old
Adult+
Elderly
All of the above
Required
What services and/or items does your organization supply?
*
Your answer
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