Pre-application Form
This form is to collect information for Higher Standards to pre-fill your application and send it to you ready to review and sign.
Contact Information
Legal Organization Name
*
As registered with IRS
DBA Name
Only if different than Legal
Website
Organization Phone
-
Area Code
Phone Number
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Legal Mailing Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact
Person we can contact for any billing, application or administrative questions
Primary Contact
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Title
Email
example@example.com
Back
Next
Organization Profile
Officers/ Principle Name
*
First Name
Last Name
Number of Locations
Officers/ Principle Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Officer Date of Birth
*
-
Month
-
Day
Year
Date
SSN
*
Organization Sturcture
*
Corporation
LLC
LLP
Non-Profit
Partnership
Sole Proprietor
Publicly Traded
Other
Date Formed
*
Federal Tax ID#/ EIN
*
Types of Services offered to public
*
Are there other officers who need to sign?
*
Yes
No
Banking Infomation
Information to make sure you donations end up in correct account
Bank Name:
*
Account Type:
*
Checking
Savings
Routing Number:
*
Account Number
*
EIN Tax ID Letter/ or 990-Form (with EIN# on it)
Browse Files
If neither let is available please attach W-9
Cancel
of
Copy of Voided Check
Browse Files
Cancel
of
Please verify that you are human
*
Submit
Should be Empty: