Contributions Request
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Full Name of Requestor
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Title (e.g., Executive Director/President/Teacher)
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Applying Organization Name
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Parent or Sponsoring Organization
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Street Address
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Mailing Address
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E-mail Address
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City
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State
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Zip Code
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Phone
Fax
Short Statement of the Purpose, Size, History of the Applying Organization
Description of Requirements (e.g., Monetary, Vehicles, Office Equipment, etc)
Total Budget of Project
Total Amount Requesting
Please describe any opportunity for permanent naming rights
Please indicate the number of directors and complete form for each one.
List of Board of Directors, noting their businesses or other affiliations.
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You Indicated You would like to Enter Directors.
Please provide the following information in an attachment:
Acceptable File Types: Excel, PDF, JPG, BMP, PNG, TIF only. Maximum combined total of 10mb (10,240kb)
IRS Form 990, if applicable
Expected outcomes of project
Program objectives with target dates
Contributors to date and amount
Strategy to secure full funding for the project
Documentation of the organization's 501 (c) (3) status or governing legislation. If not available or applicable, please explain:
(If you cannot attach a file, please fax additional information to the attention of the
Director of External Relations and send it to the following fax number: 803-326-7218.)
Yes, I'm sending information by fax