2024 Community Project Application | Robins Financial Credit Union

Application Requirements

Organization Name

Address

County

Phone Number

Website

Executive Director’s Name

Executive Director’s Email Address

Name of Person Completing Application

Name of Person Completing Application Email Address

Organization Type

EIN/Tax Exempt #

Year founded

Name of Project

Amount of Funding Requested

Number of Program Participants

Total number of participants served by organization in 2023

Length of project/program (ex: weeks, months, years)

Geographic area(s) served

Age Group(s) Served

Gender(s) Served

Ethnicity/Minorities Served

Income Range Served

History of organization

Briefly describe what program or project the funding will be used for.

Project/Program Objectives and Outcomes – List three (3) project/program goals and how they will be evaluated

Are there any Robins Financial Credit Union employees who currently serve on your Board of Directors or volunteer with your organization?

Please attach documents below:

A list of your Board of Directors

Upload requirements

IRS Tax Exempt Letter and/or Articles of Incorporation

Upload requirements

W-9 Form

Upload requirements

Most recent Audited Financial Statements (within past 24 months)

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Organization’s Logo

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I pledge that my organization’s use of any donation from Robins Financial Credit Union will not be used to discriminate against those it serves based on race, color, religion, gender, national origin, disability, marital status, veteran status, sexual orientation or other basis prohibited by law.

Yes

I understand that if awarded a 2024 Robins Financial Credit Union donation, it must be used for the sole purpose(s) indicated in this application.

Yes

I agree that if awarded a 2024 Robins Financial Credit Union donation, that the funds will be used within a 12 month period from receiving the funds.

Yes

I agree that if selected as a recipient for a Robins Financial Credit Union donation, I agree to my name, names of my representatives, information about my organization and applicable photos to be published in Robins Financial Credit Union publications, website and social media properties.

Yes

Signature

Date

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