EmailMe Form - NYC Pro Bono Consulting Application

Organization Name: *
Your Name: *
First Last
Organization Web Site: *
Year of Founding: *
Email Address: *
Phone: *
Company Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Mission Statement: *
Date of Incorporation or 501(c) status approval: *
MM / DD / YYYY
How many of the following does your organization have: *

Full-time employees

Part-time employees

Volunteers
How much did your organization raise/gross last year? *
$ Dollars . Cents
Has your organization ever applied for a federal government grant? *
Yes
No
Not Sure
Has your organization ever applied for 501(c) status? *
Yes
No
Not Sure
Does your organization currently hold 501(c) status? *
Yes
No
Not Sure
Articles of Incorporation: *
Most Recent Tax Filing: *
Services Requested: *
In 250-500 words answer the following: Describe the net positive community impact Aboutboul & Company’s pro bono consulting service will help you achieve. Be sure to give specific examples and projections: *
Please note: your response is limited to 500 words.