Form

Signature Program Partner Interest

The Junior League of Kansas City, Missouri (JLKCMO) partners with community agencies in the greater Kansas City area.

Applicant Information

Date:

Application submitted by (name and title):

Phone:

Email:

Agency Information

Name of Organization:

Name of Organization as shown on 501(3)(3) letter:

If names are different, please explain:

Executive Director:

Address 1:

Address 2:

City:

State:

ZIP (+ four) Code:

Agency Phone Number:

Organization email (general email for the agency, such as info@, etc.):

Website:

Description of organization and its programs and services:

Interest Area

What are your agency's needs?

What problem do you want to solve?

What is your timeline to solve this problem?

Cancel