AAF-Coastal Carolinas Application Survey

Please indicate contact information for the person who will act as the liaison between your organization and the AAFCC’s Public Service Committee.

Please indicate contact information for the person who will act as the liaison between your organization and the AAFCC’s Public Service Committee. Contact Person:
Full Name of Organization:
Address:
Address 2:
City/Town:
State:
ZIP:
Website:
Email Address:
Phone Number:

When, where and for what purpose was the organization formed?

Is the organization nonprofit?

Is the organization nonprofit? Yes

No

Does the organization have a national headquarters?

Does the organization have a national headquarters? Yes

No

What is the exempt status with the Internal Revenue Service?

What services does the organization offer and who are the recipients?

How is the organization funded?

If funds are solicited from the general public, is the organization registered with the National Information Bureau?

If funds are solicited from the general public, is the organization registered with the National Information Bureau? Yes

No

If it is registered, does the Bureau state in its current report that your organization meets its standards?

If it is registered, does the Bureau state in its current report that your organization meets its standards? Yes

No

What is the nature of the problem that you believe can be alleviated with the help of public service advertising? Please document the problem, using some key statistics or other evidence.

What will the individual, the "person on the street", be asked to do in your advertisement?

When and in what media would you like to see your advertising appear?

In your opinion, to what extent, if any, would the proposed public service advertising campaign be: sectarian, politically partisan, commercial, or special interest of an influence upon pending legislation?

In your opinion, to what extent, if any, would the proposed public service advertising campaign be: sectarian, politically partisan, commercial, or special interest of an influence upon pending legislation?

What other organization(s) private or federal, presently offer public service advertisements addressed to the same problem? How does your program differ?

Have funds been allocated or budgeted with which to conduct the public service advertising campaign, and if so, what amount?

Have you made any arrangements for creative, production, reproduction or distribution to the media?

Have you ever worked with any media or advertising companies, paid or donated, to create ads or other related materials in the area? If so, who was the company, what was the purpose and when did it occur?

Have you ever worked with any media or advertising companies, paid or donated, to create ads or other related materials in the area? If so, who was the company, what was the purpose and when did it occur?

What do you feel is your main target audience(s) and what would you hope to accomplish with the group(s)?

When does your organization hope to launch your public service advertising campaign?

In addition to the answers requested above, please provide us with your most recent Annual Report.

Please mail to:
Meredith Hart
101 McDonald Court
Myrtle Beach, SC 29577