SLP: Nonprofit Application, 2017
This is the application for nonprofits to submit a project for the Service Learning Practicum (slp.cs.virginia.edu/). Please see the SLP: Application page (slp.cs.virginia.edu/application.php) for instructions about filling out this form. This application will close on July 31st. We expect to start looking through the applications in July and August, and will likely finish in September.
Nonprofit name
Your answer
Nonprofit website URL
Your answer
Nonprofit address
If there is no office (or similar) for the nonprofit, please indicate such, and give a mailing address.
Your answer
Federal EIN
Your answer
Annual operating revenue
You can give a good faith estimate, or use line 12 from your 2016 IRS 990 form.
Your answer
Current level of technical support
For example, do you have a paid IT person, contract out with an outside vendor, have a volunteer help, etc?
Your answer
Contact person name
This is the person who would be working with the SLP group.
Your answer
Contact person email
Your answer
Contact person phone number
Work phone is fine.
Your answer
Executive director name
If this is the same as the contact person, that's fine -- please just copy that info for the ED questions.
Your answer
Executive director email
Your answer
Executive director phone
Work phone is fine.
Your answer
Nonprofit type certification
I certify that I am a qualified nonprofit for this type of project (to see the details of qualification, see slp.cs.virginia.edu/nonprofits.php#reqs). Specifically, that the nonprofit is a valid 501(c)(3) organization whose primary goal is charitable in nature (not allowed: political, athletic, or social in nature; religious organizations are fine as long as the nonprofit's purpose is secular).
Time commitment understanding
I understand that embarking on such a project will require a time commitment on the part of the nonprofit (bi-weekly meetings with the students, providing feedback to the students and course instructor, etc.). Details are at slp.cs.virginia.edu/nonprofits.php#reqs.
Legal issues understanding
I understand the legal issues related to this project. Specifically, that the results of this project can be used forever by the nonprofit, but it is not owned by the nonprofit, and thus it cannot be distributed outside of the nonprofit organization. I also understand that there will be an agreements to this effect that will need to be signed. Obviously, selecting 'yes' here does not require you to agree to an agreement that you have not yet seen. Further details about this are at slp.cs.virginia.edu/nonprofits.php#reqs. The agreement that will need to be signed is at aaronbloomfield.github.io/slp/uva/legal.html (the "Customer Project Agreement").
ED awareness
I certify that the executive director of the nonprofit is aware of this application, and approves of it.
Application limit understanding
I understand that each nonprofit can only apply once, and that if there are multiple applications, only the most recent one will be considered (if you want to re-submit to change some answers, that's fine -- we'll only look at the last one).
Nonprofit mission statement
This can just be cut-and-pasted from your website.
Your answer
Project description
Please limit this to about 200 words! For details about what to put here, please see slp.cs.virginia.edu/application.php.
Your answer
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