Community Monday Application
Date ____________________
Organization _______________________________________________________________________
Address ____________________________________________________________________________
Website __________________________________
Phone ____________________________
Contact Person ________________________________ Title_______________________________
Phone _________________Alt. Phone_________________ Email_______________________
If the person facilitating the event is different than the organizational contact, please note the individual’s
name and contact information.
Is your organization a 501c3?
yes
no
No. of years operating: _______
Annual Operating budget: __________
No. of members _______
Parent Organization and/or Affiliations _______________________________________
Are you governed by a Board of Directors?
yes
no
If no, please describe organizational management and fiscal oversight:
Mission/Vision Statement:
Please describe your target audience:
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Please describe your service area:
Please describe your impact on the Helena community:
Please give examples of current projects or needs:
Please describe other fundraising events and dates:
How will funds from BRBC’s Community Monday be used?
What is the preferred date(s) for BRBC’s Community Monday event?
What resources do you have to promote the event?
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