Please complete the following application form by June 25, 2021 to be considered for the Schauer Group Century of Service 2021 Donation program. Century of Service Program Details Nonprofit Name (required) Your Name (required) Email Address (required) Phone Number (required) Address (required) City (required) State (required) Zip Code (required) Website (required) Year your organization was established (required) Your organization's mission Impact Area (required) ---Alcohol and drug abuseAnimalsArts/CultureChildren/YouthDomestic violence, child abuse, and battered womenEducation (K-12)EnvironmentHealth Services (cancer, diabetes, etc)Homelessness/HungerLiteracyMental healthPeople with disabilitiesRecreation/SportsStrengthen familiesSenior citizens/AgingVeterans/MilitaryWorkforce Development (mock interviews/resume writing)Other (please specify) Other Impact Area (if not listed in field above) How would you use the 100 hours and cash prize if selected as the Century of Service honoree? Schauer Group’s four core values are integrity, independence, advancement and commitment. Please share how you feel your organization uplifts these values. How would selection as the Century of Service honoree impact your organization? Feel free to use this optional space to share any additional information that may help our committee better understand your organization and why we should select you for the Century of Service award.