ONE-PAGER

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Become a Strategic Partner in Community Safety

Align your capital with measurable impact

Partner Intake Form

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Organization / Firm Name *

Contact Person *

First Name Last Name

Title / Role *

Email Address *

Channel Budget Channel

Phone Number *

Giving Channel *Choose Giving ChannelCorporate CSR / ESG AllocationPayroll Giving / Employee MatchCause Marketing / Point-of-Sale RoundupDonor-Advised Fund (DAF)Qualified Charitable Distribution (QCD)Direct Grant / SponsorshipOther (Specify Below)

Other Giving Channel

Method of Disbursement *Choose Disbursement MethodACHWireCheckOther (Specify Below)

Other Disbursement Method

Estimated Annual Giving Budget *

Internal Reporting Requirements

If Applicable

Additional Notes

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Thank You!