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LOCATIONS & REGISTRATION
ERIE
HARRISBURG
LAUREL HIGHLANDS
LEHIGH VALLEY
PITTSBURGH
WILMINGTON
ABOUT US
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FAQs
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NONPROFIT APPLICATION
(current)
Organization application
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Organization Name:
Address
City:
State:
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Zip:
Contact Name:
Phone:
Email Address:
Website Address:
Requested Walk Location:
Select one
Pittsburgh
Harrisburg
Erie
Laurel Highlands
Lehigh Valley
Northeastern Pa.
Wilmington
1. Is your organization a 501(c)3 non-profit?
Yes
No
2. When was the nonprofit founded (i.e. YYYY)?
3. What is your mission?
4. What specific services does your organization provide? To what population?
5a. Our organization is:
Local (area in one county)
Regional (multi-county)
National (local chapter)
5b. Number (approximate) of people served yearly
5c. Number of full-time employees:
5d. Number of part-time employees:
5e. Number of active volunteers
6. Do any of your employees have fundraising experience?
Yes
No
If yes, please list names and titles:
7a. Do you have a board of directors?
Yes
No
7b. Are any of your board members Highmark Inc. employees?
Yes
No
If yes, please list names:
8. Please list your current fundraising events and dates for these events.
9. Have you received grants or sponsorship dollars from Highmark Inc. in the last year?
Yes
No
10. Does your organization carry Highmark Inc. insurance?
Yes
No
11. Is anyone in your organization related to a Highmark Inc. employee?
Yes
No
If yes, please list Highmark Inc. employee and relation to organization employee:
12. Do you have a staff person who can be the main contact and attend all meetings?
Yes
No
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