Knight of Columbus Donation Application
Council #12133
Email Address *
Your answer
Organization *
Your answer
Street Address *
Your answer
City, State and Zip *
Your answer
Contact Name *
Your answer
Title *
Your answer
Phone Number *
Your answer
Grant Cycle for which funds are requested *
Please indicate which of the following objectives and purposes of the Council most accurately describes your request for Endowment funding: *
Required
Project Name *
Your answer
Monetary Amount Requested *
Your answer
If granted funds, who should the check be made to? *
Your answer
General Description of Project *
Your answer
Purpose, Scope, and Desirability of Project *
include schedule of events, location and description of intended audience
Your answer
Expected completion date of project *
MM
/
DD
/
YYYY
Total cost of project *
Your answer
Other funds pledged or on hand *
identify other sources and amounts
Your answer
Is the Organization/Applicant tax-exempt *
If tax-exempt, Federal ID number
Your answer
Terms of Acceptance and Signature
I, the requestor, for this donation form, warrant the truthfulness of the information provided in this application.
Electronic Signature *
Please type your first and last name. I understand that entering my name in this space constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.