2019 MOM Community Impact Application
The MOM Magazine Community Impact Award honors local organizations that positively impact the lives of moms and children. Submit this form to apply for your organization.
Organization Name *
Your answer
Organization Address (Street, City, State, Zip) *
Your answer
Organization Website *
Your answer
Organization 501(3)(c)# *
Your answer
Contact Name *
Your answer
Contact email *
Your answer
MOM Magazine Market (select one) *
Briefly describe the mission of your organization *
Your answer
What is the geographic reach of your organization? *
Your answer
What is your overhead ratio (% of budget for program vs. administrative costs)? *
Your answer
How does your organization improve the lives of moms and children in the community? Briefly share an example. *
Your answer
What would your organization hope to achieve with the support provided by the Community Impact Award? *
Your answer
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