NonProfit 360 Application (Fall '24)-CVASTL

NonProfit 360 Application (Fall '24)

Please complete all fields.

Non-Profit Name

Is your non-profit a United Way agency?

Yes

Previous CVA Client

Yes

Address

Email Address

Phone Number

Date of Application

Date of Incorporation

Years In Business

IRS Determination Letter

Yes

Tax ID Number

Annual Budget ($)

Biggest Challenge

Number of Staff

Your First Name

Your Last Name

Title

Your Signature

Date

I attest that the information I have provided to Community Value Alliance is true and accurate to the best of my knowledge.

I agree to pay $2,500 fee for my organization in the following payment structure:

50% payment upon signing agreement ($1,250)
50% payment after the 6th session ($1,250)

Cancellation Policy: Registrant agrees to forfeit $250 and the remainder of any payment will be refunded by CVA to the registrant if cancellation occurs within 48 hours of the first session.

Your organization will be invoiced separately.