Request Scholarships (Not For Profit Organizations)

Your Full Name*

Your Title or Role

Your Email Address*

Please Re-enter Email Address

Not For Profit Organization Name*

Organization Phone*

Organization Address Line1*

Org City*

Org ZIP*

Employer Identification Number (EIN)*

Where Can We Validate your NFP Status?* (Only need 1) Where Can We Validate your NFP Status?* (Only need 1) IRS lookup https://apps.irs.gov/app/eos/ Charity Navigator https://www.charitynavigator.org/ Some other method (specify in text field below) None of the above

Required* Required* I have read and agree to the website Terms and Conditions, linked here Terms and Conditions

Does your organizational purpose involve serving food that is ready-to-eat? (e.g. soup kitchens, meals on wheels, regular meals for clients; but not fundraiser galas or working dinners for staff) Does your organizational purpose involve serving food that is ready-to-eat? (e.g. soup kitchens, meals on wheels, regular meals for clients; but not fundraiser galas or working dinners for staff) Yes No

Do you have workers working within the City limits of Chicago? Do you have workers working within the City limits of Chicago? Yes No

# Chicago (non-bar/restaurant) NON-Supervisor ENGLISH seats requested

# Chicago (non-bar/restaurant) Supervisor ENGLISH seats requested

# Chicago (non-bar/restaurant) NON-Supervisor SPANISH seats requested

# Chicago (non-bar/restaurant) Supervisor SPANISH seats requested

# Chicago bar/restaurant NON-Supervisor ENGLISH seats requested

# Chicago bar/restaurant Supervisor ENGLISH seats requested

# Chicago bar/restaurant NON-Supervisor SPANISH seats requested

# Chicago bar/restaurant Supervisor SPANISH seats requested

Do you have Illinois workers outside of the City of Chicago? Do you have Illinois workers outside of the City of Chicago? Yes No

# Illinois (non-Chicago) NON-bar ENGLISH seats requested

# Illinois (non-Chicago) NON-bar SPANISH seats requested

# Illinois (non-Chicago) bar/restaurant ENGLISH seats requested

# Illinois (non-Chicago) bar/restaurant SPANISH seats requested

Do you have workers who are IDFPR-licensed professionals with a license renewing this year? Do you have workers who are IDFPR-licensed professionals with a license renewing this year? Yes No

Due to regulations ensuring fairness for licensed professionals, we are NOT allowed to give away Continuing Education classes. In Illinois, the SHPT course MUST be issued under a CE Provider license to be valid for IDFPR license renewals.

Text note / anything else you think we should know: