Donation Request Form

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Due to the number of questions we recommend cutting and pasting answers from Word or using the save and return feature.

Legal Name of Organization *

First Name *

Last Name *

Email Address *

Mobile phone

Website

Officers *

Date Organization was founded *

Is your Organization a 501(c)(3) *

Yes

What is the purpose of your organization? If you have a mission statement please enter it here. *

What are the age groups of the athletes in your organization? *

How many athletes participate in your organization each year? *

Who is eligible to participate? *

Do you allow athletes to participate who are not residents of Greenwich? *

When and where are games/matches typically played? *

When and where are practices held? *

How many games/matches do the athletes participate in annually by being a member of your organization? *

Do you have a code of conduct? If yes please enter below *

Do you have a code of conduct for Coaches? If yes, please enter below *

Exactly how will our donation be used? Please be specific. *

What is the amount of the donation you are currently requesting? *

When do you need the requested funds? *

How is your organization funded? *

What is your annual budget? Please email to info@ogreenwicholdtimers.org or upload a copy of your most recent financial statement. *

Upload Your Organization's Most recent financial statement.

What other fund-raising organizations and/or individuals are significant financial contributors to your organization? How much have they contributed and/or will be contributing to this project? *

What other sources of funds does your organization anticipate receiving for this project purpose? *

How much does it cost an athlete to participate in your program each year? *

Are athletes conducting any fundraising on their own? Please provide details. *

Are scholarships (financial assistance) awarded to athletes that could otherwise not afford to play? *

How many of the athletes in your organization receive scholarships? Please provide all details. (Average scholarship, annual totals, etc.) *

Will your organization share or contribute the money being requested herein with/to any other organization? If yes, please give all details. *

Please add additional information you deem to be relevant to your request for funding. Other than contributing the amount you have requested, how can OTAAG help your organization, its athletes, coaches, etc.? *