MercWorks

Non-profit Partner Application

Organization

Contact Person

Phone

(###)

###

####

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Website (if applicable)

Social Media (if applicable)

Store Location

Please select the store location in closest proximity to your organization.

Kansas City

Lawrence

Describe the mission and work of your organization (500 words max.)

How do you feel your mission aligns with the mission and values of The Merc Co+op (for reference, visit themerc.coop/about) (500 words max.)

What types of work do volunteers do with your organization? (500 words max.)

How will you help us spread the word about the MercWorks program? (500 words max.)

Do you have upcoming special events already on your calendar that need volunteer assistance? (500 words max)

Anything else we should know? (500 words max.)

The Merc Co+op does not subsidize partisan organizations or organizations that advance a particular religious belief or political cause. The Merc Co+op will not support organizations that permit the exclusion of a group based on their race/ ethnicity, religion, sexual orientation or lifestyle.

As the applicant, I have read the above statement and verify the organization I represent does not permit the exclusion of a group based on race/ethnicity, religion, sexual orientation or lifestyle.

As the applicant, I understand paid employees of our non-profit organization do not qualify for MercWorks discounts.