2025 Highmark Walk Application

Nonprofit Information

1. Nonprofit leader Information:

Field Is Required First

Field Is Required Last

Field Is Required Street 1:

Street 2:

Field Is Required City/Town:

Field Is Required State / Province:

Field Is Required ZIP / Postal Code:

Field Is Required Email:

Field Is Required Phone Number:

If you respond and have not already registered, you will receive periodic updates and communications from Highmark Health.

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2. Field Is Required What is the name of Your nonprofit?

3. Field Is Required Does your nonprofit want to participate/fundraise in the 2025 Highmark Walk for a Healthy Community?

4. Field Is Required By selecting "yes" below your nonprofit acknowledges and agrees that the Event Manager(s) for your nonprofit will attend all mandatory monthly meetings (may be virtual or in-person)?

5. Field Is Required Region(s) Your nonprofit would like to participate in (select all that apply-MUST have a physical location/office within Region(s) selected) Please make between 1 and 6 selections from the choices below.

8. Field Is Required Does your nonprofit host a fundraising walk/run on your own?

Website Information

9. Field Is Required The information for my nonprofit was correct for the 2023/2024 walk(s). Please use that information to create my nonprofit page for the 2025 walk website.

10. Field Is Required I need to update my nonprofits Landing Page information for the Highmark Walk website.

11. Field Is Required What is your nonprofit's Mission Statement?

12. Field Is Required Provide up two paragraphs of information about your nonprofit. The system removes formatting from your submission; please be sure to note where you'd like to have any formatting inserted. EXAMPLES: {{{PARAGRAPH BREAK}}} , !!!!BOLD!!! , {{{BULLET POINT}}}

13. Provide the information for your 1st Highmark Walk Event Manager below.

Field Is Required First

Field Is Required Last

Field Is Required Email:

Field Is Required Phone Number:

If you respond and have not already registered, you will receive periodic updates and communications from Highmark Health.

Yes, I would like to receive postal mail from Highmark Health

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14. I would like to add a 2nd Event Manager for my Nonprofit.

First

Last

Email:

Phone Number:

If you respond and have not already registered, you will receive periodic updates and communications from Highmark Health.

Yes, I would like to receive postal mail from Highmark Health

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15. I would like to add a 3rd Event Manager for my Nonprofit.

First

Last

Email:

Phone Number:

If you respond and have not already registered, you will receive periodic updates and communications from Highmark Health.

Yes, I would like to receive postal mail from Highmark Health

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16. Field Is Required Select the below statement regarding your nonprofit logo for the Highmark Walk Webpage. *Instructions to send your high-resolution file for your logo will be provided via email once your responses are submitted.

I submitted a logo for the 2024 Highmark Walk, please use that logo for the 2025.
I will submit a logo that I would like to use for my Highmark Walk Webpage.
I do not have a logo that I would like to use for my Highmark Walk Webpage.

Nonprofit Blackbaud Merchant Services and Blackbaud Payment Services Information

17. Field Is Required What is your nonprofit's EIN / TAX ID?

18. Field Is Required What is your nonprofit's fundraising goal for the walk this year? *To stay in good standing and be eligible to participate in the Highmark Walk, nonprofits must fundraise a minimum of $2,500 each year of participation.

19. Field Is Required The BBMS Admin contact has changed for my nonprofit, and/or I have updated my banking account information that was previously on file for my BBPS account.

20. Field Is Required Is your nonprofit an existing Blackbaud Client? Nonprofits are considered a client of Blackbaud if the nonprofit is currently using any Blackbaud software (prior to the Highmark Walk) such as The Raiser's Edge, eTapestry, Sphere, Luminate, TeamRaiser, NetCommunity, Blackbaud Merchant Services, etc...

21. Field Is Required Existing Blackbaud Clients, please enter your Blackbaud Site ID. If you are not a Blackbaud client or do not know your Site ID, please enter "N/A" or "Not Sure" below.

22. Field Is Required Do you currently use Blackbaud Merchant Services (BBMS) in any Blackbaud software, aside from BBMS in Sphere?

23. Field Is Required Do you know your BBMS Username and Password? (This is used to log into https://bbms.blackbaud.com/ and manage your account, deposits, reports, etc...)

24. Field Is Required Do you use BBMS with Sphere (Friends Asking Friends)?

25. Field Is Required Do you know your BBPS (Not BBMS) Username & Password?

26. Provide the contact information for the individual who will sign the "Agreement to Purchase" with Blackbaud. *A signed contract between the nonprofit and Blackbaud is required in order to utilize their services (BBMS & BBPS).

Field Is Required First

Field Is Required Last

Field Is Required Email:

Field Is Required Phone Number:

If you respond and have not already registered, you will receive periodic updates and communications from Highmark Health.

Yes, I would like to receive postal mail from Highmark Health

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27. What is the Job Title for the individual signing the BBMS Contract? (Maximum response 255 chars, approx. 5 rows of text)

28. Provide the First & Last Name, Email Address, and a valid phone number for the person (BBMS ADMIN) who is responsible for creating and maintaining the BBMS Account. *May be a different person than the individual who signs the contract.

Field Is Required First

Field Is Required Last

Field Is Required Email:

Field Is Required Phone Number:

If you respond and have not already registered, you will receive periodic updates and communications from Highmark Health.

Yes, I would like to receive postal mail from Highmark Health

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29. Field Is Required What is the Job Title for the BBMS Admin?

30. Field Is Required What is the website address for your nonprofit?

Acknowledgments

31. Field Is Required By selecting "Yes" below, my nonprofit acknowledges that it is responsible for following all guidelines, policies, and procedures related to the Highmark Walk for a Healthy Community. We understand that Highmark Health, Inc. is not responsible for any financial or other losses incurred by our nonprofit due to our failure to comply with guidelines, policies, and procedures.

32. Field Is Required I will complete a test transaction ($5) prior to the deadline and confirm that the funds are deposited into my bank account (approx. 10 days after completing test transaction). I understand that failure to complete these steps could result in not receiving the funds from our nonprofits fundraising activities through the Highmark Walk. I understand that Highmark is not responsible/liable for any funds not disbursed if I have failed to complete the full nonprofit onboarding process.

I acknowledge and agree.

33. Field Is Required You will receive an email confirmation (to the email address provided in question #1 above) with your next steps. If you are a new nonprofit to the Highmark Walk, you will receive emails to complete information to setup your Blackbaud Merchant Services (BBMS) account and to set up your Blackbaud Payment Services (BBPS) account. A Blackbaud Merchant Service Representative will be in touch with the next steps for your nonprofit regarding your merchant (banking) account setup. These emails are time based and access will expire if you do not respond within their timeframe. Please make sure you respond to all requests in a timely manner to avoid blocked access. *Check your SPAM folder as these emails sometimes end up in the SPAM filter.

I acknowledge and agree.

34. Field Is Required Blackbaud Merchant Services (BBMS) is the provider for payment processing for the Highmark Walk. BBMS does not charge a set-up fee but does charge nonprofits 2.99% of each donation plus $.30 per transaction. *Fees are mandated by the agreement between the nonprofit and BBMS.

I acknowledge and agree.