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Welcome to step 2 of 3 for the Live Beyond You Service Challenge! You are only ONE MORE step away from helping your favorite charity win up to $100,000 in grant funding! Fill out this form below to complete this step.

Live Beyond You Service Challenge

Step 2: Serve Locally

(Register a service group + charity to serve with)

Thank you for participating in the Live Beyond You Service Challenge! Please complete the form below to register your service group and charity for Step 2.

*Please note: Steps must be completed in order. If you have not completed step 1 of the Live Beyond You Service Challenge, Click here and complete this step. Failure to complete steps in order will result in your charity not being qualified to participate and win funding.

1. Confirmation of Step 1 Completion

To ensure your group has successfully completed Step 1, please provide the following details:

Donation Receipt Confirmation Number: (Please enter the confirmation number from your donation receipt.) *

Did you recieve the Service Challenge Premium Pack+ Bonuses after you made a one-time donation to the Beyond Me Initiative? *

Yes

*Please note: If you did not receive your premium pack+bonuses, please email us at [email protected]. Send us the reciept confirmation number once the donation was made. Let us know if you were experiencing any technical difficulties. We'll manually help you and make sure you receive your FREE bonuses. Thank you for your support and for your patience!

Service Group Information

Service Group Members' Names: Please provide the names of all group members along with their preferred email addresses and numbers. We will send each member a special invitation to join us at the celebration banquet once the 90 Days of Impact segment of the challenge is completed. This information will also help us stay in touch with you. You can unsubscribe at any time, and we promise not to send you spam. Please note that your group must include at least three members to qualify as a service group for the Live Beyond You Service Challenge.

Service Group Name: *

Member #1 Contact Information *

Name
Email
Phone #

Member #2 Contact Information *

Name
Email
Phone #

Member #3 Contact Information *

Name
Email
Phone #

Member #4 Contact Information

Name
Email
Phone #

Member #5 Contact Information

Name
Email
Phone #

Member #6 Contact Information

Name
Email
Phone #

Member #7 Contact Information

Name
Email
Phone #

Member #8 Contact Information

Name
Email
Phone #

Member #9 Contact Information

Name
Email
Phone #

Member #10 Contact Information

Name
Email
Phone #

Information about your chosen charity

a. Legal Name of Charity: (Name of the charity your group is supporting.) *

b. EIN number of your chosen charity *

c. What's the mail address of your charity?

Address

Street Address *

City

State

Country

Postal code

d. charity's website *

e. charity's email *

f. charity’s phone number *

g. Primary contact name (representative) for the charity *

h. What is the charity’s mission statement? *

i. Service Experience Plan: (Provide a brief description of the service experience your group plans to undertake with the charity. How do you plan to serve with them, while helping alleviate human suffering in your community?) *

4. Primary Contact Person for your Charity

Please provide the contact information for a representative at your chosen charity so we can request a proposal. If your charity is selected to complete the challenge, we will award funding accordingly. After you submit your group's two-minute video highlighting your service experience, we will reach out to the provided contact to ask for a project proposal. Make sure to include the following information about the charity and the person you are coordinating with.

First Name *

Last Name *

Phone *

Email *

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