Donation, Sponsorship, Grant Application
If your request is approved a bank representative will reach out to you. Please allow up to three weeks for review due to the high volume of requests.
Organization Name
*
Description of services provided by the organization
*
Organization Contact Name
*
Organization Contact Email
*
Organization Contact Phone Number
*
Oranization Website (enter NA if not applicable)
*
Indicate the organizations relationship with First National Bank & Trust (make sure to include if the organization is a bank customer)
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What community or communities are being served?
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Has First National Bank & Trust supported your organization in the past?
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Yes
No
Unsure
First Time Event
Other - Describe
Is your organization the direct beneficiary of the funds requested?
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Yes
No - Describe where the funds will be used
The organization's financial, legal and tax classification is
*
For-Profit
Non-Profit
Municipality
School
Other - Include Description
Does the organization service a Low-to-Moderate Income (LMI) area, individuals or families?
*
Please Select
Yes
No
Not sure
Low-to-Moderate Income (LMI) is a standard federal income classification used in banking and community development programs. It refers to individuals, households, or geographic areas with incomes below 80 percent of the Area Median Income (AMI) for the relevant metropolitan area or non-metropolitan state area. Within this category, low-income is defined as less than 50 percent of AMI,while moderate-income is defined as at least 50 percent but less than80 percent of AMI. This definition is commonly used in regulations and evaluations under the Community Reinvestment Act to assess how well financial institutions serve the credit needs of lower-income communities.
If YES, what percentage of your clients/customers are Low-to-Moderate Income (LMI)?
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Less than 50%
50% or more
Not applicable because I answered "no" or "not sure"
Type of Application
Please Select
Donation
Sponsorship
Grant
1. A donation is a voluntary gift of money or goods given to support a cause or organization. 2. A sponsorship is financial or in-kind support provided in exchange for promotional or marketing benefits 3. A grant is funding given for a specific purpose—usually tied to a project, program, or measurable outcome
Upload all applicable attachments - it is VERY IMPORTANT to include any documentation that supports who you are serving.
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Amount Requested
*
If your request is approved, please indicate the payment method
*
I will pick up a check at the bank's main office reception desk
Direct deposit into our First National Bank & Trust account (if you are a customer)
Please mail a check (include mailing address below)
Mailing Address (include specific "attention" if necessary, otherwise the contact name will be used)
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