Charity of the Week Request Form
Hi there! Thank you so much for considering a partnership with us. Please fill out the questionnaire in its entirety.

Our criteria for choosing partners in 2019 is as follows:

- Your organization must be a registered 501(c)3 in St. Louis city or county,
- OR a local chapter of a national organization based in St. Louis city or county.
- Priority will go to small local nonprofits with an annual operating budget under 1 million.

Name of Organization *
Your Name and Title *
Email *
Phone Number *
Will you be the primary contact for your fundraising week? *
If no, please provide the name and information of the primary contact.
Organization's Mission *
Why do you want to partner with us? *
Is your organization a registered 501(c)3? *
If yes, please attach a copy of your determination letter. (If you can't send the file through this form please email it to
What is your annual operating budget? *
Are you willing to host a happy hour or have a representative from your charity speak with customers during your fundraising week? *
Do you have a preferred week or time of year you'd like to partner with us? (Note: March is reserved for our partnership with Homers for Health) *
Comments or Questions?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service