Ascension Philoptochos Donation Request Form for Annual Disbursements

Ascension Philoptochos Donation Request Form for Annual Disbursements

OUR MISSION: To serve the poor, hungry, aged, sick, those with disabilities, unemployed, orphaned, widowed, and victims of disaster. Through our fundraising efforts, we support charitable, benevolent, and educational programs locally, nationally, and globally.
INSTRUCTIONS: Please carefully review the form below using Charity Navigator to complete the information required. Charity Navigator provides free access to data for most charitable organizations to help guide philanthropic decision-making. Instructions on how to use Charity Navigator are provided below. Each submission will be reviewed and considered for possible donations. DEADLINE FOR SUBMITTING YOUR ASCENSION PHILOPTOCHOS DONATION REQUEST FORM FOR ANNUAL DISBURSEMENTS IS: Monday, March 26, 2026.

If you have any questions, please contact Andrea Rogers 847-682-4816.
Date*

MonthDayYear
Date
Your Name *

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Charity Navigator Information

Below, you will find useful instructions on how to use Charity Navigator. To print instructions, please click on the three dots located on the upper right or the printer icon.
Visit Charity Navigator Website Here
Proposed Charity Organization for Consideration
Name of Charity Organization*
Organization's Mission Statement*
Mailing Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Phone Number
Please enter a valid phone number.
Contact Name and Title *
What is the tax-exempt status of this organization?
Is your organization listed on Charity Navigator?

YesNo
If yes, what is the overall Charity Navigator rating?
If yes, under the Accountability and Finance section, what is the Program/Expense Ratio percentage?
What is your suggested donation dollar amount?
How will this donation be used? Should it be allocated toward a specific program and if so, which one?
How will this donation align with the Philoptochos mission?
Please disclose any relationship you may have with the organization.
Thank you!
Should be Empty:

Ascension Philoptochos Donation Request Form for Annual Disbursements

Charity Navigator Information

Proposed Charity Organization for Consideration

Thank you!