Application Form

How To Apply

We’re looking for local charitable organizations to be a part of the 12Giving program. If you’re interested in becoming a 12Giving beneficiary, please fill out the form below.

Application Form

Organization *

Contact Name *

First

Last

Contact Title *

Organization Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Phone Number *

Contact Fax Number *

Contact Email *

Organization Website *

Organization Social Media Sites *

Requested Month To Be Featured *

Brief Description of Your Organization's Mission *

How will your organization use the donation from 12Giving? *

Submit