Beneficiary Application

Is your organization a non-profit?*

Yes

No

Is your organization headquartered in Maine?*

Yes

No, but it is an affiliate and is based in Maine

No

Does your organization provide services in one or more of the following counties or areas noted?*

Yes

No

Are you a 501c3 organization?*

Yes

No

Is your organization a past TD Beach to Beacon beneficiary?*

Yes

No

Is your organization primarily youth focused?*

Yes

No

Please select the number of youths directly served each year.*

0 - 500

500 - 1000

1000+

Are senior members of your organization (Board Chair, CEO, Development Officer) able to participate in various race-related events and activities between August 3-6, 2022—the week of the race?*

Yes

No

Is your organization able to provide volunteers to help with the TD Beach to Beacon 10K race-week activities?*

Yes

No

Please include a maximum two (2) page letter that will:

Give a high-level introduction of your organization; including online presence (websites, social media etc), senior officers/executives, and how your mission aligns with TD Beach to Beacon's
Share how you would use funds
Describe what becoming the 2022 Beneficiary would mean to your non-profit

Upload File:*

Max. file size: 50 MB.

Name of Organization*

First Name

Last Name

Phone*

Email*

Comments

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