Organization Information Form

Thank you for your interest in the grant program of The Peggy and Jack Baskin Foundation. The Foundation does not accept unsolicited proposals. However, please fill out this information form and we will contact you if we are interested in learning more about your organization. Fields marked (*) are required.

Organization Name (as it appears on 501(c)(3) letter): (*)

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Mission (*)

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Priority Area (*)










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What Needs Funding? (*)



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Geographic Location

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Does the organization fit our regional focus of Monterey and Santa Cruz Counties and the greater San Francisco Bay Area? (*)

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Description (2 sentences) (*)

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Were you referred by a board member of the Baskin Foundation? (*)

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If yes, which one:

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Contact Information

Contact Name (*)

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Street Address (*)

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City, State, Zip (*)

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Email (*)

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Phone (*)

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Website

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