1. Small Business Program Sponsor
Streets University Youth Initiative
www.streetsuniversity.org
Tax-exempt#: 48-1137236
A 501 c.3 Nonprofit Organization
Business Name: _____________________________________________________
Business Owner: ___________________________________________________
Business Address: ___________________________________________________
Contact Phone:_______________________ Other: _________________________
Email ____________________________ Website __________________________
Products/Services: ___________________________________________________
__________________________________________________________________
__________________________________________________________________
Area of Program Interest: [ ] YouthBiz Advisor [ ] Field Trip Site [ ] Other
Business Diversity: [ ] Woman [ ] Minority [ ] Veteran [ ] Other
Comments: ________________________________________________________
__________________________________________________________________
Please mail this complete form with a check payable to:
(contact us to make your support payment online or via credit card)
IBSA, Inc.
629 SE Quincy, Suite 102
Topeka, Kansas 66603-3921
Contact Information:
(785) 422-0761
admin@ibsa-inc.org
www.ibsa-inc.org
Online Directory
www.kansassmallbizdirectory.com
Annual Small Business Sponsor Fee
= = = = = = = = = = =
$150.00 per year
Small business sponsors support IBSA
programs, services and activities. In return for
your support, your business will be listed in
our online directory and are promoted
throughout our network; both on and offline.
In the spirit of community collaboration, we
invite your participation in our success and
that of our youth students and interns!