Funding Request Forms Download Funding Request Form 25-2 DOWNLOAD Chapter Name(s)* Chapter Number* Select One of the Following:*GraduateUndergraduateCombined Email Address* Purpose for Request (Including Name of Activity)* Number of Tags Purchased by Brothers in the Chapter During Last Year or To Date This Year* Committee Chair* Phone Number* Contact Person* Position (if different) Email Address* Please Provide the Following Fundraising Request Information: 1. Amount Requested* 2. Proposed Project Budget* 3. Describe with specificity the purpose for which funds will be used (such as Talent Hunt, Scholarship, Diabetes walk, Assault on Illiteracy, Manhood program, etc.) and the criteria for awarding the funds:* 4. Description of how the recipient of the funds will benefit from the services/program:* I hereby state that all information provided in this Request for Funds is true, complete and accurate.* Submit Download Funding Request Form 25-3 DOWNLOAD Name of Orgnization* Purpose of Organization* Address* Email Address* Purpose for Request* Contact Person* Phone Number* Position In Organization* Email Address* Please Provide the Following Fundraising Request Information: 1. Amount Requested* Activity Budget* 3. Describe with specificity the purpose for which funds will be used (such as Talent Hunt, Scholarship, Diabetes walk, Assault on Illiteracy, Manhood program, etc.) and the criteria for awarding the funds:* 4. Description of how the recipient of the funds will benefit from the services/program:* Attach a copy of your entity’s IRS determination letter.* Please maintain receipts as verification of expenditure of funds as described must be provided upon request. Your Name* Date I hereby state that all information provided in this Request for Funds is true, complete and accurate.* Submit