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2. First Name
3. Last Name
5. Email Address
6. Phone Number
8. Name of the Applying Nonprofit
9. Nonprofit EIN

   Federal Employer Identification Number (EIN)

10. Date Nonprofit was Established with IRS
    Date Nonprofit was Established with IRS
12. Mission Statement
14. Nonprofit Category

    1. Animals
    2. Arts & Culture
    3. Education: K-12
    4. Education: Adult Education
    5. Education: Workforce Training
    6. Environment / Sustainability
    7. Food Security
    8. Health Care / Access
    9. History
    10. Senior Citizen Services
    11. Workforce
    12. Youth Services
    13. Other (please specify)
15. Other Nonprofit Category

    If you said "other" please specify here

17. Proposed Fundraising Campaign

    Why do you want to raise funds through SeeMyLegacy? Please provide a brief summary of the project or your funding needs.

19. Standards

    1. I agree to abide by City Standards

    By checking this box, you indicate that you understand that SeeMyLegacy is a public forum, and will comply with City standards 

20. Services

    1. I agree that services will not be provided only to organization members

    By checking this box, you agree that membership in your organization is not required to receive services connected to funds raised through SeeMyLegacy

21. Equal Opportunity

    1. My organization is an equal opportunity employer

    By checking this box, you indicate that your organization is an Equal Opportunity Employer

23. More Information

    Please use this space to provide other information you believe is important about your organization.

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field