Social Innovation Fast Pitch

Registration | Contact Us

Thank you for your interest in applying to the Social Innovation Fast Pitch program. The application period for the 2012 program is now closed. We will announce the program participants in late August.

If you are interested in attending the event or applying for next year's program, please submit your information, including details regarding your interest in the program, via the Contact Us page.

Required fields are in bold and marked with a red asterisk *

Organization Information

Organization Name *

Website *

Tax ID *

Note: The organization will need to provide proof of its 501c3 status or fiscal sponsorship before being selected. Provide fiscal sponsor Tax ID# if organization does not have its own.

Address *

City *

State *

Zipcode *

Org headquarters (City, State) *

Applicant Information

First Name *

Last Name *

Title *

# of Years with organization *

Daytime Phone Number *

Cell Phone Number

Email *

Please upload your application document (3 pages maximum, .pdf preferred, .doc and .docx also accepted) that includes answers to only the following:

Organization Information

Name of Organization:
Name of Applicant and Title:
What year did your organization begin operating?
Current fiscal year (2012) expected revenues:
Current fiscal year (2012) expected expenses:
Total # of Full Time Equivalent employees:
# of Full Time Equivalent employees in Los Angeles County:

Responses to Narrative Questions #1-3

Upload your application here:

For more information please call 310.281.7509 or email: info @ lasvp.org