Host Application

Thank you for your interest in joining the effort to connect New Yorkers in need to the information and services they deserve. This form will help F.Y. Eye evaluate if your organization can be a strategic partner in helping us to disseminate public service announcements (PSAs) through digital screens that generate awareness of nonprofit organizations and their programs as well as important social, civic service and educational messages. Please review the Become A PSA Network Host requirements

before filling out this application.

Basic Information

Name*

First Last

Email*

Phone Number*

Name of Organization*

EIN*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Services and Constituent Information

By getting a better understanding of your organization and the population you serve, we can provide more targeted content that speaks directly to the needs of your constituents.

What is the mission of your organization?*

What services does your organization provide?*

Approximately how many people visit your location each month? If possible, please include information on the total number of visitors as well as how many of them are unique.*

Please provide the ethnic breakdown of the community that will be exposed to the screens. Please be as detailed as possible and include percentages.*

Please indicate the estimated percentages of your constituents by age? (Children, Teen, Adult, Elderly).*

Please provide detail on the constituents your organization serves. Please be as detailed as possible and include percentages.*

Where do the majority of your constituents live? Do you provide services citywide or to a specific neighborhood or set of neighborhoods within New York?*

Technical Specifications

How do you plan to use your allocated screen time?*

Does your organization currently have digital screens? If yes, will the new equipment replace or be in addition to your current digital signage assets?*

Is there any additional information we should know about your location that might be an obstacle for installation of the digital screen?

What type of equipment are you most interested in? (please check all that apply)*

Indoor Screens
Rotating Storefront Screens
Outdoor Screens
Digital Signage Software Package

Do you require AV/IT installation and maintenance support?*

Basic Information

Services and Constituent Information

Technical Specifications

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