Online Donation Request Form

All donation requests must use the following form. For additional guidelines about our process see this page.

Please download and fill out the Donation Details Template (provided in Word and Google Docs), and upload with your responses below. Templates  All forms must be type-written.  Handwritten requests will be returned. You may upload a PDF of your responses or a Word document. The Google versions includes instructions for saving the document from your account to a PDF document. Note, if you are using a Mac Pages, LibreOffice, or OpenOffice, they can open the documents below, just be sure to save as PDF or Word when you are done.

Word Donation Template
Google Doc Donation Template

Please support your request by filling out the line item spreadsheet below (in Excel or Google Sheets). This is helpful for certain types of requests such as sports equipment.

Excel Spreadsheet Template
Google Sheets Costs Template

Use the Contact Us page if you have questions about this form.

500 Donation Request
Name of organization, school or government organization requesting the donation
Ex. Mystery Night Out, Field Trip to the Zoo
Please list your organization’s website if you have one.
Address
Address
Organization address or your address if the organization has no physical presence.
City
State/Province
Zip/Postal
First
Last
Email of person we will contact with questions.
Phone of person we will contact with questions.
Enter dollar amount of your donation requested.
Attach a spreadsheet using the template above or explain here how you arrived at the amount. If the amount is really a range please explain.
Centerville-Washington Township or surrounding communities
List the main sources of funds for your organization (largest first).
Typically a Date
Will you repeat this request?
List other sources you have or will explore for this request.

Maximum file size: 6MB

Using the template above, upload a PDF (or Word) document here. Do NOT scan a digital or hand written document.

Maximum file size: 6MB

Using Costs Spreadsheet template above, upload a PDF (or Spreadsheet) document here. Do NOT scan a digital or hand written document.

Maximum file size: 6MB

Flyers or other documents that will help us evaluate your request.
I will not be uploading the Word template. I prefer to key my details here.

Vetting

Indicate if the requester entered online or if someone from CNO manually created the entry.
Fill this field in even if the amount is the same as the requested amount.
What else is not in the online application that we should know?