First Name

Last Name

Phone *

Email *

How would receiving socks and underwear help you better serve the mission of the organization/project? *

How many individuals do you serve on a monthly basis? *

Provide the organization's name. *

Provide a brief description of the mission/organization. *

Is the organization a 501c3? *

Yes

Provide the organization's mailing address. *

What county is the organization located in? *

Please provide any additional individuals you would like listed as a form of contact for your organization. Name and email. *

Gender demographics

What percentage of people receiving these products identify as nonbinary/other? *

What percentage of recipients identify as male? *

What percentage of recipients identify as female *

Age demographics

Provide the percentage of recipients served in the 60+ age group. *

Provide the percentage of recipients served in the 0-12 age group. *

Provide the percentage of recipients served in the 13-18 age group. *

Provide the percentage of recipients served in the 19-26 age group. *

Provide the percentage of recipients served in the 27-40 age group. *

Provide the percentage of recipients served in the 41-59 age group. *

Ethnicity demographics

What percentage of recipients are Native Hawaiian or Pacific Islander? *

What percentage of recipients are Caucasian? *

What percentage of recipients are Black, African-American, African? *

What percentage of recipients are Latino or Hispanic? *

What percentage of recipients are Asian, Asian American? *

What percentage of recipients are Native American? *

Acknowledgement + e-signature

Date Signed

By e-signing below, I'm acknowledging the above questionnaire is for a general request and doesn't guarantee a donation from The Drawer. I also acknowledge that any and all donations received from The Drawer are to be given away and in no way resold for monetary value.

Signature

Clear

Sign your first and last name to acknowledge this statement.