Name*

First Last

Date*

RGG Program*

Organization*

Organization / Event*

Amount Requested*

Child's Name*

Employee Donation Amount*

Organization Mailing Address*

Street Address City State ZIP Code

*Only required if a check needs to be sent.

Organization Mailing Address*

Street Address City State ZIP Code

Organization Donation Page or Website*

Organization Phone

Website

Website*

Employee Donation Receipt, Letter, or Email

Child's Handwritten Letter*

* Donation request MUST be a written request from the child. We want to actively promote children making the request on their own.

Mission of Organization*

Your Association

Your Association*

Date of Volunteer*

Manager Approved?*

Sponsorship Form*

REALLY GREAT GIVING REQUEST