Indiana FSSA · SNAP Employment & Training

Third Party Provider Questionnaire

Name: Elevate for Humanity
Address: 8888 Keystone Crossing, Suite 1300, Indianapolis, IN, 46240, US
Telephone: +1-317-314-3757
Price range: $0 - $5,000

Complete all sections and submit. Your responses go directly to Elevate for Humanity for FSSA TPP application submission.

Organization Info

Step 1 of 7

Legal Organization Name

Organization Type

EIN (Federal Tax ID)

UEI (SAM.gov)

Street Address

City

ZIP

Primary Contact Name

Title

Phone