Visionaries - Changing the World One Story at a Time

 

Apply for the Visionaries Series on Public TV

 

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Your Name:

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Organization:

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Phone: Fax:

Website:

Please describe the work of your organization:

Do you have 501(c)(3) status?   Yes No  

Number of staff members:    Number of volunteers:

What is your annual operating budget?    

What % of your budget goes toward service?

How many persons on your mailing list?  

Do you have a video?   Yes No  

Please list potential corporate underwriting support sponsors:

How would a profile by the Visionaries help your organization fulfill it's mission?

How did you hear about us?

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