CBT Foundation Inc. Donation Request Form
Please fill out this form to request donation from our organization.
Section 1: About your Organization
Does your request service the following parishes: East Baton Rouge, Ascension, Livingston, West Baton Rouge, Iberville, Assumption, Point Coupee?
*
Yes
No
Organization Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website (If applicable)
Contact Person
*
First Name
Last Name
Job Title
*
Phone Number
*
Email
*
example@example.com
What type of organization are you?
*
Non-Profit (501(c)(3))
For-Profit
Other
What is your organization's mission?
*
When was your organization started?
*
Section 2: Details about your program or event
Event/Project or Cause Name
*
Amount of Request
Are you asking for a sponsorship or a grant?
*
Sponsorship
Grant
Description of Event, Project or Cause
*
(Explain what it is, why it's important, and who it's for.)
Date of your event
*
-
Month
-
Day
Year
Date
Location of your Event
*
Target Audience or beneficiaries
*
How does this program or event match our goals?
*
Explain how this program/event will help both your organization and ours
Do you have other sponsors or supporters?
*
List anyone else helping, how much they are giving, or what they are doing to help.
Section 3: Documents we need from you
Required Documents
Proof you are a tax-exempt organization
Upload your Statement of nonprofit status (501(c)(3) status:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Tax ID Number (For tax-deductible donations)
*
How is the donation tax-deductible?
*
Upload Sponsorship Packet
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
What type of donation do you need?
*
Monetary
In-Kind
Goods
Services
Address for Mailing Donation
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If referred by an employee, please list their name below.
Section 4: Agreement
I promise that all the information in this application is true and complete. If we are recipients of this sponsorship or grant, we will us the money as planned and provide follow-up reports if needed.
*
I attest
Signature
*
Submit
Submit
Should be Empty: