Pre-Qualify a Charity -

Pre-Qualify a Charity

To ensure fairness and transparency, all charities noticed for consideration by Jackson 100 For Good must be pre-qualified. Please complete the information below so we can verify eligibility. Several fields below are required; many are not. Complete what you can and contact us if you're having issues. We're here to help!

Your Name(Required)

First Last

Your Email Address(Required)

(This should be your email address, not the charity's email.)

Your Phone Number(Required)

Organization Name(Required)

What is your relationship to the organization?(Required)

Organization Contact Person(Required)

First Last

Contact Person's Phone Number(Required)

Contact Person's Email

Organization's Website

Or add a link to their social media if no website exists

Organization Tax ID Number

Organization's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Is this organization a registered 501(c)(3) charitable organization?

Yes

Other

If selected, to whom should checks be made payable?

In what year was the organization started?

What is the mission/purpose of the organization?

Who does the organization serve AND how many does it serve (approximately)?

What is the organization's annual budget?

What are the current funding sources for the organization?

If selected, how would the donation from Jackson 100 For Good be used?

What portion, if any, of the donation will go toward administrative fees?

I confirm that I have read and understand the rules of Jackson 100 For Good for submitting charitable organizations for consideration and agree to work with the leadership committee to confirm the organization's eligibility. I further confirm that I am a member in good standing.

I agree