Beneficiary Application

Limited to nonprofits that serve any branch of the military and/or veterans, first responders and their families in Arizona.

Organization Information

Organization Name

Website

http://

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Information

Name

First Name

Last Name

Phone

(###)

###

####

Types of Military Support

How your organization supports the Military

Active Duty

Veterans

Statewide

All Branches

Specific Branches (Please list below)

Specific AZ City (Please list below)

Additional Information

Additional Organization Information

Nonprofit EIN

Headquarters Address (if different from above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

State in which Incorporated

Annual Programming Budget

Volunteer Recruitment

The Tower Challenge is an all-volunteer managed event. Is your organization willing/able to recruit volunteers to help plan & execute your local event?

Organization Mission and Purpose

Briefly describe the mission of your organization and programming.

Other Comments

Please share any other information that will be helpful to the selection committee.

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that the final beneficiary decision will be made by the 9/11 Tower Challenge Foundation Board of Directors with input from each local organizing committee.

Signature

Your name, entered below, constitutes your signature.

First Name

Last Name

Today's Date

YYYY

Beneficiaries

Beneficiary Application