Charity of Choice Application

The WISE Conference Charity Application Form

WISE is honored to continue our tradition of supporting local non-profits. It is our goal to enable smaller organizations to reach more of the community they support. If you are a non-profit, please complete the application for consideration to be our Charity of Choice. If you know a charity that needs a hand up, please ask them to apply.

The application period closes on March 31, 2025.

YES! I would like my organization to be considered the WISE Charity of Choice.

This application must be submitted no later than March 31 by 5:00 PM for consideration.

Organization Name:

Tax ID#

Address

Street Address

Address Line 2

City

State

Contact Persion:

Title

Email

Phone/Mobile

Website

Mission Statement

Tell us a little about your organization.

How many volunteers are engaged on a regular basis?

How many FULL time employees do you have?

How do you stay in touch with donors and volunteers? (check all that apply)

What is your greatest challenge?

If chosen as The WISE Charity of Choice, describe how the funds would be used to make a different in our community.

Additionally, if chosen as the Charity of Choice, would your organization agree to the following?

Charity understands and agrees to the following: (check all that apply)

Submitted by

First Name

Last Name

Referred by

First Name

Last Name

What is your tax exempt status?

List your Board of Directors and contact information for each director.

Provide a copy of your most recent IRS Form 890

Choose File

Is your referral source a member of either of the following host organizations ?

How did you hear about this opportunity? (check all that apply)