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Organization Application
Please fill out the form below if you are a part of an organization that would like to potentially receive donations from any future WCSG Community Connection service drives. If your organization is chosen to receive donations, you will be contacted.
Email address *
Your Name (First and Last): *
Your answer
Title at Organization:
Your answer
Name of Organization: *
Your answer
Your phone number: *
Your answer
What is your relationship to the organization? *
Type of Organization: *
Organization's mission and/or purpose: *
Your answer
Organization Website: *
Your answer
Organization phone number: *
Your answer
Organization address:
Your answer
What city/area does your organization serve? *
Your answer
What ages does your organization serve? (choose all that apply) *
Required
What are your greatest needs? *
Your answer
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