ROSEBUD APPLICATION | Touched by a Rose

Section 1 – Organization Primary Contact Information

Name of Organization

Organization Website, Social Media Handles

Last name

First name

Title

Phone

Section 2 – Organization Overview

Mission Statement

Vision Statement

Describe your organizations primary programs and services.

Approximately how many people does your organization serve annually?

What communities or populations do you primarily serve?

How does your organization make a lasting impact in the community?

Section 3 – Leadership

Executive Director/CEO

Board Chair

List Current Board Members

Number of Full-Time Employees

Number of Volunteers

Section 4 – Fundraising Event

Event Name

Event Date

Month

Day

Year

Expected Attendance

Event Location

Is this a first-year event or annual event?

First-Year Event

Annual Event

What are the primary fundraising goals for this event?

What is your fundraising goal this year?

If selected, what would receiving this scholarship mean to your organization?