Form 05-18-032 "Alaska Nonprofit Organization Profile Form" - Alaska

What Is Form 05-18-032?

This is a legal form that was released by the Alaska Department of Education and Early Development - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Alaska Department of Education and Early Development;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 05-18-032 by clicking the link below or browse more documents and templates provided by the Alaska Department of Education and Early Development.

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Download Form 05-18-032 "Alaska Nonprofit Organization Profile Form" - Alaska

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Alaska Nonprofit Organization Profile Form
Nonprofit Organization Contact Information
Name of organization
Location
Website url
Contact name
Mailing address
Phone
Email
Alaska Entity Number
Assigned by SOA Dept. of Commerce,
Community, and Economic Development
https://www.commerce.alaska.gov/cbp/Mai
n/Search/Entities
Qualifications
Does the organization have at
least 3 years of experience
Yes
running or working with before-
or after-school (or summer
No
recess) programs and activities?
Number of years?
If the answer above is no,
Name of mentor
give the name and contact
Organization
information of the organization
you will be formally partnering
Contact name
with who meets that criteria and
Email
who will provide mentoring and
Phone
guidance to you
Briefly describe what relevant
services your organization
traditionally provides
(400 character limit)
List 3 organizations who are
Organization name
familiar with your organization’s
Contact name
work and can affirm the quality
Email
and history of your services.
Organization name
Contact name
Email
Organization name
Contact name
Email
Form # 05-18-032
Alaska Department of Education & Early Development
Alaska Nonprofit Organization Profile Form
Nonprofit Organization Contact Information
Name of organization
Location
Website url
Contact name
Mailing address
Phone
Email
Alaska Entity Number
Assigned by SOA Dept. of Commerce,
Community, and Economic Development
https://www.commerce.alaska.gov/cbp/Mai
n/Search/Entities
Qualifications
Does the organization have at
least 3 years of experience
Yes
running or working with before-
or after-school (or summer
No
recess) programs and activities?
Number of years?
If the answer above is no,
Name of mentor
give the name and contact
Organization
information of the organization
you will be formally partnering
Contact name
with who meets that criteria and
Email
who will provide mentoring and
Phone
guidance to you
Briefly describe what relevant
services your organization
traditionally provides
(400 character limit)
List 3 organizations who are
Organization name
familiar with your organization’s
Contact name
work and can affirm the quality
Email
and history of your services.
Organization name
Contact name
Email
Organization name
Contact name
Email
Form # 05-18-032
Alaska Department of Education & Early Development
Possible Partnership Services
Briefly describe what
programming and services you
are interested in and capable of
st
providing in a 21
CCLC
partnership?
(limit to 600 characters)
Are you interested in and
capable of participating in a
long-distance partnership using
VTC, web conferencing, or
other technological tools?
(limit to 200 characters)
Assurances and Understandings
 I verify all the profile information submitted is current and accurate
 I understand submitting incomplete and/or out-of-date profile information may result in my organization
not being included in the pool
 I verify my organization is an Alaska non-profit entity in good standing
 I verify I am an employee or officer of the organization for whom I am submitting this profile information
and have the authority to submit the information on the organization’s behalf
 I understand this solicitation for information will not result in a contract with the Alaska Department of
Education & Early Development (DEED) nor does this listing represent an endorsement by DEED. The
st
list will be posted (for informational purposes only) for any 21
CCLC grant applicant to view and utilize
at their own discretion.
By checking this box I verify the veracity of
all information provided and my agreement
with the “Assurances and Understandings”
written above
Name
Email
Complete and send as an electronic, not scanned, PDF to
jessica.paris@alaska.gov
to request to be included in
st
the Alaska 21
CCLC External Organization Partner Pool.
st
Instructions for completing this form and information about the Alaska 21
CCLC External Organization
st
Partner Pool can be found on the DEED 21
CCLC webpage at
https://education.alaska.gov/21cclc
Form # 05-18-032
Alaska Department of Education & Early Development
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