EmailMe Form - Bless Our Children Application Form

Bless Our Children Application Form

WBOC's Bless our Children campaign is administered by the Draper Holdings Charitable Foundation, Inc., which is a 501(c)(3) organization. Bless Our Children distributes funds to other non-profit organizations on the Delmarva Peninsula. For your non-profit organization to be considered as a Bless Our Children recipient please fill out the application below and click on submit. You must also fax a copy of your IRS form to (410) 749-6098. Bless Our Children does not distribute funds directly to individuals or families. Please note: the application must be completed in full for it to be considered.

REMINDER: Your application is not complete until we receive a copy of your Form 990. Please fax it ASAP to (410) 749-6098.

Organization Name *
Organization Email Address *
Organization Phone Number (This number may be shared with individuals who contact WBOC for assistance) *
### - ### - ####
Contact Name *
First Last
Contact Phone Number (This number will not be shared with the public) *
### - ### - ####
Is the contact phone number a cell, home or office phone? *
Contact Email Address
Organization Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
EIN (Enter Federal ID Number or the word NONE) *
How many children do you serve over the holidays? *
Please describe your organization's purpose and activities? *
How would you use Bless Our Children funds if they are provided to your organization? *
Please list the counties your organization serves during the holidays: *
How do you select your recipients (are they members of your organization, a church or from the general public, etc.)? *
When is the deadline for applicants to apply for help from your organization? (Example: Nov. 20, 2011 or say NONE) *
Do you receive holiday funds from other sources? *
Yes
No
If "yes," please explain:

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