Form Center Module

Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Sign in to Save Progress

Application for Charitable Solicitation

Steps

  1. 1. Step One
  2. 2. Door-to-Door Solicitation Permit Roster

  • Step One

    2. Application for Charitable Solicitation
      This application is for charitable solicitation on public property including vehicle solicitation, as well as for charitable groups soliciting door-to-door and distributing handbills. All Village regulations in regard to charitable solicitation can be found in the Skokie Village Code, section 78-91 to 78-132.
    3. Skokie Seal
    7. Type of solicitation:*
    14. Name and Address of Officers and Executive (if any):
    46. Any single charitable organization may solicit from motor vehicles not more than two (2) days in any calendar year. Only one charitable organization may solicit donations from motor vehicles on any single day.
    48. For organizations soliciting door-to-door, this permit is valid for not longer than 30 days. After such time, the organization will need to reapply through the Manager’s Office.
    50. The following two questions apply only if handbills are to be distributed.
    52. 1. How do you intend to distribute handbills? *
    56. According to the Skokie Village Code, Sec. 6-43: It shall be unlawful for any person to post, hand out, distribute or transmit any sign, or any commercial or noncommercial handbill: (1) Which may reasonably tend to incite riot or other public disorder, or which advocates disloyalty to or the overthrow of the government of the United States or of this State by means of any artifice, scheme, or violence, or which urges any unlawful conduct, or encourages or tends to encourage a breach of the public peace or good order of the community; or (2) Which contains obscene, libelous or other language which is made unlawful by any law of the Village, the State, or the United States.
    58. Any new handbills, or changes to current handbills that are made during the permitted period must be approved by the Village Manager’s Office or the permit may be revoked.
    66. Does the applicant certify that it will meet the conditions of the charitable trusts and solicitations division of the Illinois Attorney General'’ office by (a) Determining that the organization is in good standing; (b) Providing clear identification of all collectors; (c) Arranging with a local bank for the receipt and counting of sealed and properly identified containers; and (d) Notifying the Attorney General’s Office, giving the name of the bank, the person in charge, and the date(s) requested? *
    68. Does the applicant certify that if a permit is granted, it will not be used or represented in any way as an endorsement by the Village of Skokie or by any department or officer thereof?*
    70. Does the applicant certify that if a permit is granted, no children under 16 years of age will be permitted to solicit money in the public right-of-way?*
    72. Does the applicant agree to furnish to the Village Manager within 60 days after the solicitation has been completed, a report and financial statement showing the amount raised by the solicitation, the amount expended in collecting such funds, including a detailed report of the wages, fees, commission and expenses paid to any person in connection with such solicitation, and the disposition of the balance of the funds collected by this solicitation?*
    76. If your organization intends to solicit in the public right of way, your organization must adhere to the following traffic safety precautions:
      No one is allowed to stand in the street or road while the traffic light is green. Solicitors must stand on a curb or traffic island until such time as the traffic light cycles to red and at that time approach vehicles only when they have come to a complete stop. • Solicitors must remove themselves from the lanes of traffic prior to the traffic light cycling back to green. • All solicitors in the right-of-way must wear a bright colored traffic safety vest easily recognizable, (orange or yellow) with the name of your organization clearly identified and legible by a driver or passenger in a motor vehicle. • Solicitors cannot tap or knock on windows in an attempt to solicit. • No more than one person soliciting for each direction of traffic, but in no event more than four people soliciting in any intersection. • No solicitor may obstruct or hinder the flow of traffic at any time. • Soliciting from motor vehicles shall be only between 6:00 a.m. and 7:00 p.m. and shall only occur at intersections protected by traffic lights, stop signs or median islands at all corners. • A badge or identification card shall be issued by the Village Manager’s Office and worn by each person soliciting contributions, which shall bear a number and the words “Solicitor for Charitable Purposes,” Village of Skokie.
    78. All of the above statements are true to the best of knowledge, information and belief. All questions have been answered, and if any change in fact, policy or method occurs subsequent to the date of this application, or the issuance of a permit, the applicant will notify the Village Manager in writing within 24 hours after such change. The organization agrees to indemnify, hold harmless, and defend the Village of Skokie, its agents, trustees, officers, servants, and employees, against any lawsuits, claims, demands, liabilities, losses and expenses, including court costs and attorney fees, for or on account of any injury to any person or death resulting from such injury, or any damage to property, which may which may be alleged to have arisen or arise directly or indirectly out of or in connection with this solicitation campaign.
    80. Electronic Signature Agreement*
      By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.