Tulsa Organizations & Services Agency Form

*Official Organization or Program Name: 

Acronym/Initialism: 

*Phone: 

Fax: 

*Mailing Address: 

Is the mailing address for public knowledge?   Yes  No

*Office Address: 

Is the office address for public knowledge?   Yes   No

E-mail: 

Web Site: 

*Contact Person:

Describe the organization:
Describe Organization

Please list any state or national affiliates: 

Do you have meeting facilities available for community groups? Yes  No

If yes, is the facility wheelchair accessible?  Yes  No

Is there a kitchen facility available? Yes No

Capacity   Is there a fee?  Yes  No

Do you provide special services or programs for the community such as:

Scholarships: Yes  No
If yes, briefly describe: 

Classes: Yes  No
If yes, briefly describe: 

Special Library Yes  No
If yes, briefly describe: 

Special support for community groups  Yes  No
If yes, briefly describe: 

Other services or programs   Yes  No
If yes, briefly describe: 

Do you have free speakers available to the community? Yes No
If yes, briefly describe: