WF - Organization Profile

Organization Profile Intake

Collects Information on Organizations

Organization - Mailing Address

Organization Name - Legal*

Please enter the name of your organization as it appears on your IRS Ruling Letter

Do you have a DBA name?

Yes

Check this box if you would like to enter a DBA name

Oraganization Name - DBA

If you enter a DBA name, we will use this name for correspondences and media announcements

Street Address - One*

Please enter the address for where you regularly receive mail

Street Adress - Two

Use this field for such things as Suite #

City*

State*

Zip Code*

Grant Administrator - Contact Information

Name - Grant Administrator*

First Name

Last Name

Phone - Grant Administrator*

Email - Grant Administrator*

Confirm Email - Grant Administrator*

Organization - Additional Information

Organization - Web Site Address*

Organization - Date Established*

Federal ID #*

Please do not enter the hyphen (ex. 452318927)

GuideStar Listing

Yes

Check this box if you have an up-to-date GuideStar listing

Organization - Description of Operations

Organization - Mission Statement*

You may wish to cut and paste from existing materials (250 characters max)

Organization - History Statement*

You may wish to cut and paste from existing materials (500 charcter max)

Organization - Population Served*

Briefly describe the population you serve including demographics and scocioeconomic status data (500 characters max)

Organization Profile - Foundation Administrator Check

Organization - Profile ID #

First year of current fiscal year followed by sequential numbering (ex. 2018-101)

Organization - EIN Number Verified

Yes

Date EIN Number Verified

Foundation - Adminstrator Notes

Use this field to add any notes, say, from the GuideStar listing (500 characters max)