Non-profit Organization/School Name(Required) Club/Team/Group Name Non-profit Organization/School Website(Required) Community Served(Required) Expanding Educational Opportunity Athletics Arts Cultural Resources Outreach programs for Underserved/Disadvantaged Youth Activities Senior Activities Health and Human Services Do You Have A Tax ID?(Required)YesNoTax ID(Required) Reason Why You Don't Have a Tax ID(Required) Non-profit Organization/School Address(Required) Street Address City ZIP Code Contact Person's Name(Required) Contact Person's Phone(Required) Contact Person's Email(Required) Type of Item Being Requested Apparel Athletics Baby Supplies Computers & Electronics Food & Nutrition Furniture Garden & Outdoor Equipment Household Goods & Small Appliances Monetary Donation Music and Art Needs Office & School Supplies Pet Supplies Senior Supplies Other Name/Description of Item(Required) Amount Needed(Required) On-Going or One Time Request(Required)On-GoingOne TimeDimensions Material Color Sample Picture of ItemMax. file size: 128 MB.Link to Website Where Item Can Be Purchased Manufacturer and Model Number Condition of Item (New, Gentle Used, ADA Compliant) Approximate Value Additional Info About The ItemWhy does your organization need this item?How will it be used to help your organization achieve its mission?How will your organization recognize the donor(s)?Does this request have a required date to be filled?YesNoDoes this request have a required date to be filled? If yes, what is that date.(Required) MM slash DD slash YYYY Have you double checked the application and made sure all the information is correct?NoYesNameThis field is for validation purposes and should be left unchanged.
