In-Kind Contribution Form

Donor/Volunteer Full Name*

First NameLast Name

Donor Organization (if applicable)

Donor/Volunteer Email Address*

example@example.com

Donor/Volunteer Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Donated Goods (if applicable)

Donated Facilities (if applicable)

Volunteer Services (if applicable)

2 CFR §200.306

(e) …Rates for third-party volunteer services must be consistent with those paid for similar work by the non-Federal entity. In those instances in which the required skills are not found in the non-Federal entity, rates must be consistent with those paid for similar work in the labor market in which the non-Federal entity competes for the kind of services involved.

(j) For third-party in-kind contributions, the fair market value of goods and services must be documented and to the extent feasible supported by the same methods used internally by the non-Federal entity.

Signature*

IN-KIND CONTRIBUTION FORM