Is Your Organization Tax Exempt? *

Yes

No

Organization Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Contact Name *

First Name

Last Name

Primary Contact Phone Number *

Country

(###)

###

####

Anticipated Audience *

Check all that apply

Teachers

Parents

Therapists

Childcare Providers

Other Professionals

Other

Does your organization have a budget for professional development or speaker fees? *

Yes

No

Unsure

What funding sources have you explored to support this event? *

Check all that apply

None

Grants

Local Business Sponsorships

School/Organization Budget

Fundraising

Other

Would you be open to creative funding solutions (e.g., partnering with another organization to share costs, securing a sponsor, or using grant funding)? *

Yes

No

Maybe

*

By checking this box, I affirm that I understand that only a limited number of mission-driven discounts are available per year and that submitting this application does not guarantee approval.

*

By checking this box, I agree to be responsive in coordinating with Mister Stu if selected.