Minot Spouses Club Charitable Fund Request Form

Minot Spouses Club Charitable Fund Request Form
Important Application Deadline Guidelines
Our Charitable Fund Disbursement Committee meets the LAST MONDAY of every month.

Please submit your request no later than 45 days prior to your event or need if the amount being requested is over $250.00 so as to allow our membership to vote on the matter.

If you are requesting less than $250.00 please have your request to us one week before the month's Disbursement Meeting.

All requests submitted past this deadline will not be considered until the following months scheduled meeting.

Requests for Designated Funds must be received prior to April 15th or the request will not be considered.

The Charitable Fund Disbursement Committee does not meet in June and July.
Applicant Information
Organization*
Location*
POC*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Requested Amount*
Date Funds Needed By*
Payable To*
Funds to Be Used For (Please give us a detailed review of how you plan to use the funds, and who would benefit from them.)*
Total Expected Cost of Event*
Number of Individuals who would benefit from these funds*
Total Funding Raised to Date*
Who else have you received funding from*
Please type your name in below as a signature.
Person Submitting Request*
Title in Organization*
Date*
please upload any additional paperwork you have. (formal solicitation letter, event flyer, etc.)
Should be Empty:

Minot Spouses Club Charitable Fund Request Form

Important Application Deadline Guidelines

Applicant Information