Non-Profit Outreach Program Form
Non-Profit Outreach Program Form
Please complete this form to submit details of an outreach program for approval by [Your Company Name].
Program Information
Program Name
Program Date
Program Location Address
Program Lead
Phone Number
Program Objectives
Primary Goal of the Program
Target Audience
Specify the target audience (e.g., youth, low-income families, veterans):
Estimated Number of Participants
Program Activities
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Activity Description |
Planned Date/Time |
Responsible Team Member |
Resources Needed |
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Expense Categories
Select the category that best describes the expense.
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Travel (e.g., transportation, lodging)
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Meals & Entertainment
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Office Supplies
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Program Supplies
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Marketing & Outreach
Budget & Resources
Estimated Budget
Funding Source(s)
Requested Resources
Indicate the requested resources (e.g., equipment, transportation, volunteers):
Expected Outcomes
What are the anticipated benefits of this program?
How will success be measured?
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Number of Participants
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Feedback Surveys
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Community Impact
Approval & Signature
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I confirm that the information provided is accurate and that the proposed outreach program aligns with the mission of [Your Company Name].
Program Lead Signature
Name:
Date:
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