We will be CLOSED on Memorial Day

Monday, May 25

 

Menu

Donation Request Application

Donation Request Application

Please ensure that you have read eligibility requirements before filling out this form

Section 1: Organization Information

Organization Mailing Address(Required)
Is your organization a registered nonprofit?(Required)
Max. file size: 300 MB.

Section 2: Primary Contact Information

Mailing Address (if different from organization address)
Best method of contact(Required)

Section 3: Event or Program Information

Type of Event(Required)

Section 4: Community Impact

Does your organization serve individuals with disabilities?(Required)
Does your organization serve residents of Fairfield County?(Required)

Section 5: Donation Request Details

Will the donation be used in:(Required)
How will Art & Clay on Main be recognized if a donation is approved?(Required)

Section 6: Previous Support

Has your organization received a donation from Art & Clay on Main in the past?(Required)

Section 7: Additional Sponsors

Sponsor Name, Type of sponsorship, Level of contribution-- If none, enter N/A

Section 8: Supporting Documentation

Max. file size: 300 MB.
• Event flyer or promotional materials • Sponsorship packet • Event budget or fundraising overview

Section 9: Certification

Certification(Required)
Please type your full name and today's date as your online signature. Don't forget to fill out the reCaptcha and hit "Submit" below.