Non-profit Organization/School Name(Required) Club/Team/Group Name Non-profit Organization/School Website(Required) Community Served(Required)Expanding Educational OpportunityAthleticsArtsCultural ResourcesOutreach programs to the Underserved or DisadvantagedYouth ActivitiesSenior ActivitiesHealth and Human ServicesDo 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(Required)ApparelAthleticsBaby SuppliesComputers & ElectronicsFood & NutritionFurnitureGarden & Outdoor EquipmentHousehold Goods & Small AppliancesMonetary DonationMusic and Art NeedsOffice & School SuppliesPet SuppliesSenior SuppliesOtherName/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?NoYesCommentsThis field is for validation purposes and should be left unchanged.