MEMBERSHIP APPLICATION

Please answer all questions on this form, attaching additional pages if necessary.

The charitable purpose of the Association of Wish Granting Organizations, Inc. as specified in Article 1 Section 1.2 is:

To establish and maintain among its Members the highest standards of the wish granting process for the individual and her or his family;

(a)      To develop professional standards and ethical behaviors in all areas of program operations, fundraising and management;

(b)     To foster among new and existing Members cooperation and the sharing of ideas and information in an environment of mutual support and respect; and

(c)      To promote public trust in all communities through each Member's commitment to the standards set forth by the Association.

As a member, do you agree to abide by the state purpose of the Association?

Has anything changed from your original Membership Application?

Based on your most recent 990/T3010 or equivalent, list the number of wishes/dreams granted in the last year.

Based on your most recent 990/T3010 or equivalent, what percentage of your total annual expenditures last year were expended in administration and fundraising?

Based on your most recent 990/T3010 or equivalent, what dollar amount of your total annual expenditures for the past year was spent on:

Should your organization's application and/or renewal be approved, do you agree to abide by the Bylaws and Policies & Procedures of the Association?

Mail Check to:

The Association of Wish Granting Organizations

c/o J'Lynn Mayes-Edwards

7212 N Shadeland Ave Suite 100

Indianapolis, IN 46250

On behalf of:

I hereby certify that the responses and information provided in this Application, along with the materials submitted, are true and accurate and if accepted for renewed Membership in the Association we, the Applicant Organization, agree to adhere to and abide by the qualification requirements, standards, and polices of the Association as a condition of Membership.