14800 Starfire Way
Tukwila, WA 98188 (map)
Monday to Friday 9am - 11pm*
Saturday & Sunday 7am - 11pm*
*Hours subject to changed based on activity level
Type of Applicant (required)
—Please choose an option—Club/TeamOrganization
Name of Your Org/Team/Club (For non-profits: Name as it appears on your 501(c)3 letter) (required)
IRS Tax ID Number
City State Zip Code
Your Email (required)
PRIMARY CONTACT INFORMATION
First Name           Last Name           Middle Initial
Information in this section is for reporting purposes only and has no bearing on the acceptance or rejection of your proposal. If your organization does not keep this kind of information, pleas provide your best estimates for each category.
Age Group (check all that apply):
Children under 6Children 6 - 12Youth 13 - 18Young Adults 19 - 25Adults
Ethnicity (check all that apply):
African AmericanAsianBosnianCroatianEastern EuropeanEuropeanLatino/HispanicOther specified ethnic group
Gender (check all that apply):
Population Served (check all that apply):
Blind/vision impairedDeaf/hearing impairedEconomically disadvantagedGay/Lesbian/TransgenderMentally/Emotionally ImpairedPhysically impairedRefugees/immigrantsGeneral PublicSingle parent
BEFORE YOU SUBMIT YOUR REQUEST:
Proposals must include the following information. Please use the checklist below to ensure that your request is complete. Missing information will delay review of your application.
■ For all ORGANIZATIONS:
□ A completed copy of the attached application form.
□ A brief description of the funding request and the requested amount.
■ For all TEAM/CLUB applicants:
□ Team Roster
□ Attach a letter describing in detail your team/club(s) economic hardship.
□ Completed copy of the attached application form.
□ Brief description of the funding request and the requested amount.
■ Additional information required for non-profit organizations:
□ A brief description of the organization’s history and mission statement.
□ A list of the Board of Directors, including names, titles and affiliations.
□ A copy of the organization’s IRS 501(c)(3) letter.
□ A current annual operating budget with expenses and income (earned and contributed).
□ A copy of the organization’s most recent audited financial statement. If no audit is
available, explain why.
I agree with the terms in Starfire's Charitable Application
Please submit the above forms as attachments below. If unable to include attachments, send forms to:
14800 Starfire Way
Tukwila, Wash. 98188
Contact the Charitable Partnership Manager, Kelley Talbot at: (206) 267-6401 or by e-mail to [email protected]