2019 MCC Participating Charity Form
Congratulations on your charity's approval to participate in the 2019 Maryland Charity Campaign (MCC), the State’s charitable workplace giving program! We look forward to highlighting your charity's benefits and impact; please complete the form below to aid us in that endeavor. By clicking "submit," you are providing your information to America's Charities, MCC's Operating Agency, and we will be in touch as needed. Don't forget to upload your photos/videos into the shared folder. Simply click the link provided in your approval notification letter.
Charity Name: *
Your answer
Employer Identification Number (EIN) *
Your answer
Primary Charity Representative First Name *
Your answer
Primary Charity Representative Last Name *
Your answer
Primary Representative Email Address *
Your answer
Office Phone Number *
Your answer
Cell Phone Number *
Your answer
Alternative Representative First Name
Your answer
Alternative Representative Last Name
Your answer
Alternative Rep Email Address
Your answer
Do you want to receive invitations for charity fairs and speaking opportunities? *
Required
What Maryland geographic area does your charity cover? Check all that apply. *
Required
Does your organization bring animals to charity events?
Please provide at least one impact statement.
For example: Charity ABC helps more than 10 million children and their families get life-saving health screenings each year.
Impact Statement #1: *
Your answer
Impact Statement #2:
Your answer
Please provide at least one short dollar-buy statement(s) in whatever denomination makes sense for your charity, making sure it relates to 26 pay periods.
For example: $1 per pay period (x 26 paychecks = $26) provides 70 meals to Marylanders in need. $5 per pay period (x 26 paychecks = $130) plants 12 trees, offsetting 15 tons of carbon dioxide emissions. $10 per pay period (x 26 paychecks = $260) screens two women for breast cancer.
Dollar-Buy Statement #1: *
Your answer
Dollar-Buy Statement #2:
Your answer
Dollar-Buy Statement #3:
Your answer
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