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Nonprofit Qualification Form
This form is to be completed by a representative of the nominated nonprofit to confirm eligibility for funding consideration. Once eligibility is verified, the charity will be added to our list of qualified charities eligible for presentation and funding consideration at a future meeting.
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Organization Name
*
Your answer
Nonprofit Status
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This is a 501(c)(3) organization
Required
Federal Tax ID
*
Your answer
Contact First Name
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Your answer
Contact Last Name
*
Your answer
Contact Title
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Your answer
Email
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Mission Statement
*
Please include a short mission statement that we may post on our website.
Your answer
Annual Operating Budget
*
Note: we no longer require a minimum annual operating budget of $100,000.
Your answer
What percentage of overall funds are allocated to providing services in Yolo County?
You must agree to spend 100% of our donation in Yolo County. If you do not work exclusively within Yolo County, please specify the percentage of your overall budget that is spent in Yolo County and describe where else you work.
Your answer
Date Established
*
Organizations must have been in operation for at least three years.
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DD
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YYYY
Website
*
Your answer
(Optional) What is the impact of $100 to your organization?
If possible, please let us know what $100 can do for you (# people helped, pounds of food, # classes offered, etc.). This will help us spread the word of how much impact our group can make.
Your answer
Acknowledgment of Terms
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I agree to not create, use, give, or sell the contact information of our members for additional solicitation by our or other organizations.
I agree not to create, sell, or distribute a list with 100+ Women Who Care Yolo County members' contact information.
I agree NOT to solicit 100+ Women Who Care Yolo County members directly for further contributions, unless an individual member opts-in directly.
I agree to provide individual Thank You/Tax Receipts directly to contributing members.
I agree to provide 100+ Women Who Care Yolo County with our logo, a description of how the donated funds will be used, and our mission statement for a weblink on the 100+WWC website.
If selected for a meeting, I agree to send a representative to the meeting to meet with members and give a five minute presentation. I understand that if I am unable to send a representative to the meeting, another organization will be randomly selected for the meeting and my organization will go back into the selection pool.
If selected for a donation, I agree to send a representative to a subsequent meeting to present on how the donation has been or will be spent to advance our mission, and will provide a short summary of the funded work for the 100+ Women Who Care Yolo County website.
If selected for a donation, I agree to track donations and provide updated information to the 100+WWCYolo Steerging committee periodically following the meeting. Futher, I will provide an online options for members to submit donations. If I do not have an existing online donation option, I am willing to set up a crowdfunding or similar online option to accept donations.
I agree to spend 100% of any donation from 100+ Women Who Care Yolo County for the benefit of Yolo County.
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