Quincy Community Charitable Giving Guide Submission Request

*Organization Name:

*Organization Contact:

Title:

*Address:

*City:

*State:

*Zip:

*Phone:

*E-Mail:

Website:

Fax:

Year Founded:

Children and Family Services

Faith-based Organization

Community Outreach

Fine Arts

Early Childhood Services

Health Care

Education

Sports and Recreation

- Basic organizational summary with contact information.
- In the box below, please input brief summary of your organization's mission. (250 words or less).

- Organizational contact information, detailed organization mission, programs, and future goals - logo and/or photo may be included. (see attachment below)
- In the box below, please input detailed information according to the following categories listed below. (750 words or less)

Please type or copy and paste from your document in the area below.