Organization *

Address Line 1 *

Address Line 2

City *

Postal Code *

EIN Number *

Please enter your Federal EIN number assigned by the IRS. This is a required field so take a moment and locate it before going further.

Website *

Are you a Member of Nonprofits First? *

Are you Accredited through Nonprofits First? *

Title *

Please provide the title of the member of your organization who will be the primary point of contact for this service-learning project.

First Name *

Please provide the first name of the member of your organization who will be the primary point of contact for this service-learning project.

Last Name *

Please provide the last name of the member of your organization who will be the primary point of contact for this service-learning project.

Email *

Please provide the email of the member of your organization who will be the primary point of contact for this service-learning project.

Phone *

Please provide the phone number of the member of your organization who will be the primary point of contact for this service-learning project.

Number of Employees *

Core Mission Focus Categories *

Please identify one focus area listed below that aligns best with your organization’s mission or population served.

Enter required value Animal-Related Other Civil Rights, Social Action & Advocacy Education Employment Housing & Shelter Emergency Assistance Mental Health & Crisis Intervention Recreation and Sports Science and Technology Arts, Culture, and Humanities Community Improvement and Capacity Building Environment Health Care Adoption and Foster Care Family / Personal Social Services Family / Support of Specific Populations Legal Services Military and Veterans Youth Development

Mission Statement *

Project/Program Budget Size *

Organization Budget Size *

Project Title *

The Problem *

Describe the issue that exists within your organization or the community that you serve. Why is this issue important?

Possible Solution / Project Description *

Outline the proposed project detailing the project's goal(s), the deliverable(s) and the Launching Leaders Class participants' role in the project.

Project Category *

Indicate the category below that best describes the project you are proposing

Enter required value Logistics & Internal Optimization/Organization Event Creation and Execution Program Development Social Enterprise Cybersecurity & Technology

Skills Requested *

Please select all of the skills that may be needed to effectively deliver the project as it is proposed.

Administration (Operations, Organization, Technical Writing)

Promotion (Event Planning, Presentations, Digital Marketing, Web, Video)

Business (Strategic Planning, Project Management, Research)

Finance (Budgeting, Business Analysis)

Human Resources (Networking, Team Building, Relationship Building)

IT Support

What is the Objective of the Service-Learning Project? *

Upon completion, how will this project impact the community you serve and what would be the key metrics of success?

Project Sustainability *

Please outline your organization's plan for continued use or utilization of this project after its initial completion. How does this project fit into the overall growth of your organization or benefit the community you serve?