Toy Donation Request Application Form

HPGM is proud to present our annual Noche de Niños toy drive, in partnership with Centro Legal and 88Nine Radio Milwaukee, sponsored by Thrivent and the Northwestern Mutual Hispanic Employee Resource Group. We will gather new and gently-used toys and books this holiday season, culminating in our Noche de Niños celebration, on December 7th, 2016. Join us at 88Nine Radio Milwaukee, for an evening of music, cheer, and giving. Please complete this form if your organization would like to be considered to receive the toys gathered for this year’s event. Thank you for your interest!

Contact Information

Agency Name: ______

Street Address: ______

City: ______State: ______Zip: ______

Website: ______Contact Person: ______

Job Title: ______Phone: ______Fax: ______

Email: ______

501c3 Tax ID: ______

Information for Request

1. Please provide a brief overview of your organization’s history and mission.

2. Our ability to assist your agency is dependent on the generosity of the community. Please submit a realistic estimate in your request for donation:

Ages 0-2 ages 3-5 ages 6-9 ages 10-12 ages 13-16 total

Boys: # of ______

Girls: # of ______

3. Geographical areas you service that need toys?

4. Why should HPGM choose your organization to receive the donated toys?

5. Provide the date and/or event when the toys will be distributed.

Deadline

Return completed form by Tuesday, November 1st to:

Hispanic Professionals of Greater Milwaukee via

Mail: 759 N. Milwaukee St. Suite #322
Milwaukee, WI 5322

Email: