Donation Request Form


We are currently accepting applications for review.  Please submit your request for support by November 30th for donations to be granted during the remainder of the 2018 calendar year.  Thank You!

To apply for a donation, please complete and submit the form below.

  • Donation requests are reviewed in the order they are received, with preference
    given to those that demonstrate the most significant material need. 
  • With few exceptions, we generally do not support for-profit organizations.
  • Due to the volume of applications received, we regret that we can contact only
    those applicants whose requests we are able to grant.
  • A telephone interview is conducted prior to delivering or approving donations, so please be sure to include a phone number where you can be easily reached.

By signing below, you certify that you are an authorized representative of the organization requesting a donation and agree to the terms of our Donation and Thank You Policy. If a donation is granted, your organization agrees to provide meaningful feedback regarding the use of materials donated, including pictures, testimonials, results, protmotional materials, and/or potential program visits for quality assurance purposes.

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Amount $10.00

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