Please include links to those social media below. *
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Is your organization recognized by the IRS as a 501(c)(3) charitable organization or political subdivision eligible for charitable contribution under the Internal Revenue Code? *
Is your organization state funded? *
Is your organization faith based? *
Organization Service(s) Overview
Please provide a general overview of the services that your organization provides (Please limit responses to no more than 250 words; some details can be provided in question below) *
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Please select the categories that best represent your organization's services *
Required
Are there certain criteria that a person must meet to obtain services from your organization? If so, please list below: *
Your answer
Are your services eligible to people who may live outside of Martinsville-Henry County, but work within the city or county? *
Are there any costs to your organization's services? If so, please list or describe these expenses. *
Your answer
If there is no cost, does that also apply for people who live outside of Martinsville and Henry County but work within the city and county?
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Are there volunteer opportunities available within your organization? *
Please provide contact information for volunteer information (contact name, phone number and email) *
Your answer
Please provide contact information for the person who completed this form (name, phone number and email) *
Your answer
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