SparkStart - It all starts with a spark

Application

To apply for the SparkStart^SM program, you can complete the online application below or you may download and complete an application and return or fax it to our office.

Name of Organization

Physical Address

City State Zip

Mailing Address (if different than above)

City State Zip

Telephone Fax

E-mail address

URL (web) address

501(c)3 Number Granted Applied for

Executive Director

Financial Director/Bookkeeper or Accountant

Board Members

Organization's Purpose or Mission Statement

Critical Needs or Special Projects

How did you find out about SparkStart^sm? Colleague Web
Publication (which one )
Other

Does your organization employ an on-site marketing director? Yes No

Do you receive marketing/advertising assistance from any other source? Yes No

If so, do you pay for this or is it pro-bono (provided at no charge)? Paid Pro-Bono

Please submit a short essay (150 words or less) as to why your Organization would benefit from assistance from SparkStart^sm and how you would like to direct the marketing efforts (i.e. a fundraising event, a newsletter, etc.)