FUNDRAISING REQUEST FORM(For Fundraisers by Student, Departmental, Employee Organizations and/or Entities)
BA-6313.1A --------------------, 2012
Once approved, a copy of this form must be maintained and available during fundraiser.
FUNDRAISING REQUEST FORM
(For Fundraisers by Student, Departmental, Employee Organizations and/or Entities)
This form is used to (1) document approval of fundraiser by appropriate campus/site Executive Dean; and (2) notify the Office of Institutional Advancement of any student, departmental, or employee organization and/or entity’s approved fundraiser planned to be held at a College facility or off-campus.
Date
Host Sponsor (Name of Your Department, Division or Organization)
Host Sponsor’s Primary Contact Name/Title:
Phone: Email:
Sponsoring Campus/Site:
Purpose and Description of the Fundraiser:
Date(s) of Fundraiser:
Location of Fundraiser (If off-campus include name of location, address and contacts):
Vendors to Be Solicited:
REQUESTED: ______________________________________________
Signature of Host Sponsor Date
FUNDRAISER APPROVED: ______________________________________________
Signature of Campus Executive Dean Date
Copies to Host Sponsor; Office of Institutional Advancement
If desired, host sponsors may request fundraising guidance by contacting:
Office of Institutional Advancement
phone: (504) 671-5412; email:
nhutte@dcc.edu
- - - - - - - - - - - - - - - - - - - - - - For Office of Institutional Advancement Use - - - - - - - - - - - - - - - - - - - - - - - -
Received by Office of Institutional Advancement: __________________________ (Initials/Date)
Name/Contact of Actual Vendors Solicited (regardless of amount collected or if no contribution): ____________________________________________________________________________________________
____________________________________________________________________________________________
Amount Raised: __________________ Initials/Date: _____________
Form 6313/002 (5/12)
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