Donation Request - POLAM Federal Credit Union

Donation Request Form

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Thank you for your interest in partnering with POLAM Federal Credit Union. Please complete the form below to have your request considered for funding.

Donation Guidelines

Donations will be made only to organizations, not individuals. Organizations seeking a donation must complete the Donation Request Form below. All applications will be reviewed by the POLAM Federal Credit Union Board of Directors at the regularly scheduled board meeting. Polam is not a foundation and is a not-for-profit financial institution that exists to serve the financial needs of our membership.

To be considered, organizations should meet the following criteria:

Organization has 501(c)(3) status, is an accredited educational institution or recognized community support group that positively impacts individuals in our community in line with the credit union’s areas of focus
Organization conducts activities within our field of membership
Organization agrees to acknowledge and recognize POLAM FCU as a sponsor in their promotional material
Please submit at least sixty (60) days prior to event

POLAM Federal Credit Union will not provide support for:

Programs, projects or events that benefit a specific individual
Sponsors of or to political or partisan organizations; for-profit organizations
A non-profit group’s administrative or operating costs

Organization Information

Organization Name*

Organization Tax ID Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website*

Community/Geographic Area*

Organization Contact

Name*

First Name Last Name

Title*

Phone Number*

Email*

About Organization

Date the Organization Was Established*

Member Number (if applicable)

Mission Statement*

Amount Requested*

When Are the Funds Needed?*

Briefly Describe the Program, Project, or Event for Which You Are Requesting the Funds and How the Funds Will Be Used*

Describe How Your Organization Will Use the Funds From This Donation Using Specific Examples and How Polam Will Be Recognized as a Sponsor*

Please provide a copy of your IRS Determination Letter*

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.

I hereby acknowledge that the above statements are true and accurate. I further acknowledge that I will receive no personal economic benefit from this donation, and neither will any member of my family or household.*

Yes

Signature*

Date*

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