Charitable Partner Application Form

Organization Details

Organization name

Organization Address

Organization Phone

Organization Website

Mission & Foundation Information

Organization Mission Statement

Organization Year Founded

Organization EIN

Organization Type (Note: Private Foundations are not eligible per IRS rules regarding donor-advised fund distributions)

How do you intend to utilize funds that may be received?

I confirm that the information provided above is accurate to the best of my knowledge, and I understand that meeting the criteria does not guarantee acceptance as a beneficial organization with Spring Arbor Group.

Individual Contact Information

Name

Title

Phone

I authorize Spring Arbor Group to display our Organization logo or registered mark on the Spring Arbor Group website. By checking this box, it is understood that the logo will appear on the Spring Arbor Group website and that Spring Arbor Gruop may use the Organization's logo or mark for these purposes without further permission or acquiescence by the Organization, and the Organziation hereby releases Spring Arbor Group from all liability relating to the publication or use of the logo/mark.