Public Allies Pittsburgh Placement Partner Interest Form
This form is intended for anyone interested in hosting a Public Ally. Public Allies serve at your nonprofit or public organization for 30-35 hours per week to help create, improve, and expand your organization's services. Partners contribute the Ally living stipend of $1,500/month + p/r taxes, and Public Allies provides recruitment/selection, benefits, program supports and training to participants. Please contact Naomi Tannenbaum at naomit@publicallies.org or 412-258-3021 if you have further questions.
Organization Name *
Organization Website
Street *
City *
State *
Zip *
Contact First Name *
Contact Last Name *
Contact Email *
Contact Phone *
Are you a 501(c)3; government agency; or 501(c)4 or 501(c)6 that does not engage in lobbying activities as defined under the Lobbying Disclosure Act of 1995? *
Have you hosted an Ally before? *
Does your organization provide services that focus on any of the following areas? *
Check all that apply.
Required
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