Does your project have an oral health education or outreach component? If yes, please explain.*
How will the kits be distributed? If in a school, which one(s)?*
Does your project target uninsured or underserved residents of Kansas? If yes, please explain.*
What geographic area will your project reach?*
SMILE KIT REQUEST
Number of kits for ages 8+*
Number of kits for ages 4-7*
If yes, please make sure you upload your U.S. Treasury (IRS) tax determination letter proving your organization's non-profit status below. If you do not upload it now, you'll have two days to email a current copy to email@example.com or fax it to 316.462.3372.
If no, a tax determination letter is not required and no additional steps are necessary.
U.S. Treasury tax determination letter/Tax exempt letter