Online Donation Request Form

All donation requests after August 31, 2022 must use the following form. For additional guidelines about our process see this page.

Please download and fill out the Donation Details Template, and upload with your responses below as the “Donation Request Document”.  All forms must be type-written.  Handwritten requests will be returned. You may upload a PDF of your responses a Word document.

Please support your request by filling out the line item spreadsheet. This is helpful for certain types of requests such as sports equipment.

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

Donation Request

Organization Information

Non-Profit?
Select Yes if your organization is tax-exempt or a non-profit.
Board of Trustees?
Select Yes if your organization has a board of trustees.
Year is the most important – You may approximate month and day.
Maximum upload size: 20MB
For your organization Include Recent Tax Return and/or Recent Financial Statement. DO NOT UPLOAD PERSONAL TAX RETURNS!
You do not need to have a website, but please list it if you have one.
Address
Address
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.
If you don’t reach your total funding goal, what happens to the funds?
List other clubs you have contacted for funds.
Maximum upload size: 6MB
Using the template above, upload a PDF (or Word) document here. Do NOT scan a digital or hand written document.
Maximum upload size: 6MB
Using Costs Spreadsheet template above, upload a PDF (or Spreadsheet) document here. Do NOT scan a digital or hand written document.
Maximum upload 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.

Donation Details

Why are you requesting these funds? Must include how this will benefit youth.
If not included in “Reason for Donation Request” explain how these funds will be used.
Tell us about your organization.
Use this area to let us know anything else that will help us evaluate your request.
Are there things you won’t be able to purchase and how would that affect your effort?
Please list amounts received from the previous four years. and the impact our funds have made.

Vetting

Indicate if the requester entered online or if someone from CNO manually created the entry.
What else is not in the online application that we should know?

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