Pro Bono Request Form
To submit your pro bono request, please fill in the form below as completely as possible. All fields marked with an * are required fields. After clicking the SUBMIT button, if there are any errors or missed fields, the errors will display with a RED error message next to the problem field. You will then have the opportunity to enter any missing data or fix any errors. All errors or incomplete fields must be entered before your information can be submitted. Upon successfully submitting all information, you will see a confirmation message.
*Organization or Company Name:
501(c)(3) #:
*First Name:
*Last Name:
*Street:
Suite Number:
*City:
*State:
Please Select State Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zipcode:
*Telephone:
Please check if this is not a U.S. number.
Facsimile:
Please check if this is not a U.S. number.
*Email:
Website:
*Please select the type of project requested:
Please Select Project Type Web Design & Development
Internet Strategy Consulting
Search Engine Optimization
Intranet/Extranet
CD Rom Design & Development
CD Rom Duplication/Replication
Corporate Image Consulting
Copywriting / Editing
Print - Brochure
Print - Catalog
Print - Collateral
Video
Trade Show Display
*Please describe your proposed project as completely as possible:
*Please be sure to include the specific items you are requesting that CWS complete for you
*Timeframe for project completion:
Please Select Timeframe Less than 4 weeks
4 Weeks
6 Weeks
1-2 Months
3-4 Months
6 Months
If you have a "firm" deadline for the project, please indicate it here:
*What is your budget for the project?
Please Select Budget $0
Under $1000
Under $2000
Under $4000
Under $6000
Under $8000
Under $10,000
Under $15,000
Under $20,000
Under $30,000
Under $50,000
Under $75,000
Under $100,000
Over $100,000
If you have a specific budget that you must meet, please enter it here:
*Please describe your organization's history:
*Please describe the mission of your organization:
*Please enter names and brief bios of the senior officers/directors of your organization:
REFERENCES:
Please note, if your organization is not nationally recognized, you will be asked to send three references from community leaders who are familiar with your work and can attest to its' quality.
*How did you hear about CWS?
Please Select How heard about CWS Google
Yahoo
MSN
Other Search Engine
Chamber of Commerce
Better Business Bureau
Referred by Associate
Yellow Pages
Other
If you answered "Other" above, please describe. Also, if you were referred to CWS, please let us know who referred you, so that we can thank them!