Non-Profit Support Application

Thank you for your interest in partnering with Ataria Media to enhance your digital presence through affordable tech and website solutions. We are passionate about supporting non-profits that align with our core values and mission. Please complete the application below to help us understand your organization’s needs and determine if you qualify for our program.

Organization Information

Organization

Website (if applicable)

Contact Person Full Name

Email *

Phone *

Organization Street Address

City

State

Country

Postal code

Mission Statement: *

Year Founded: *

Non-Profit Status:

501(c)(3)
Other (please specify):

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Industry Alignment

We prioritize support for non-profits in the following areas. Please select all that apply:

Briefly explain how your organization’s mission aligns with the selected industry (200-300 words):

Current Challenges & Goals

What are your organization’s primary challenges related to technology or digital presence? (e.g., outdated website, lack of social media strategy, need for a donor portal, etc.)

What specific goals do you hope to achieve with our support? (e.g., increase community engagement, improve online donations, raise awareness, etc.)

What is your current budget for tech and website solutions?

Core Values Compatibility

Our core values include collaboration, innovation, inclusivity, and sustainability. Please provide examples or stories that demonstrate how your organization embodies these values (300-500 words):

Additional Information

Have you worked with other tech or marketing providers in the past?

□ Yes (please explain):

Are there any additional services or support you’re seeking that we should know about?

Upload any relevant documentation (e.g., brochures, annual reports, etc.): [Attachment link]

By submitting this application, I certify that:

The information provided is accurate to the best of my knowledge.
Our organization is a non-profit entity dedicated to making a positive impact in our community.
We agree to collaborate with Ataria Media to achieve the outlined goals if selected.

Authorized Representative Name:

Clear

Signature

Date:

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