2023 PACC Gives Back Charity Application

PACC Gives Back Charity Application

The PACC believes in giving back locally and making an impact on a more regular basis with smaller donations ($500 or less). The monthly donation recipient will be chosen from those charities that apply for assistance during the month. We are very proud to support the organizations within our community by providing immediate funds to non-profit organizations (through application and approvial process) that have a local impact in Platte County.
If you would like to be considered for our 2023 PACC Gives Back Charity, please fill out this form and submit to the PACC. Thank you for your interest in the Parkville Area Chamber of Commerce.
Main Contact or Person Applying on behalf of the Organization

First NameLast Name
E-mail
Organization
EIN
Organization Website
Organization Mission Statement
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cellular Number

Area CodePhone Number
Work Number

Area CodePhone Number
Proposed Summary – In 50 words or less summarize your immediate need and what program or specific purpose the funds will be used for.
Describe your main focus, community needs or problems addressed by your organization?
Signature
Signature date
Should be Empty: