Fundraising Request Form
Fundraising
1. Your Name and Rank *
2. Phone Number *
3. Email Address *
4. Alternate Requestor
5. Alternate's Phone Number
6. Alternate's Email Address
7. Name of Fundraiser *
8. Entity Requesting Approval *
9. Are you an approved private organization? *
10. Dates of Fundraiser *
11. Alternate Dates
12. Time of Fundraiser *
13. Location of Fundraiser *
14. Has the building custodian given approval? *
15. How much money do you expect to raise? *
16. How will the earnings be used? *
17. How many fundraising events have you had this quarter? *
0
1
2
18. Please list the dates of your last fundraising activities *
19. Are health services required? *
Yes
No
20. Today's Date *
21. Is your proposed event date at least 2 weeks from today? *
Yes
No
22. Please give a detailed explanation of your proposed event *
23. If not, why?