donation request form
DONATION REQUEST FORM Compliance Office/ Department of Athletics/University of San Francisco Organization Name: _____________________________________________________________________________________________________ Name of Authorized Organization Representative: ______________________________
Phone: ____________________
Organization’s Full Address: ___________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ Type of Organization: ____ Elementary School ____ Middle School ____ Non-Profit Organization ____ Organization with 501(c)(3) tax exempt status 501(c)(3) ID number: _______________________________ ____ None of the above – please specify: ___________________ Donation Request: ____ Discounted or Free Tickets ____ Other items: _________________________________________________________________________ Is a flyer or brochure outlining the event attached (please circle)? Yes No What will the funds raised be used for? ______________________________________________________ If funds will benefit students, please list ages or grades of students: _______________________________ Please note: The NCAA prohibits institutions from providing or arranging financial assistance, directly or indirectly (i.e. fund raisers) for prospects (defined as any student in 9th-12th grades). All donation requests are reviewed for compliance with NCAA rules before being filled. ORGANIZATION REPRESENTATIVE: By signing below, I understand that my request may be approved based on the information provided on this form. Any changes to the information provided will require a new request to ensure compliance with the appropriate NCAA rules. _________________________________ __________ Name (Print)
_______________________________ Signature
________________ Date
Please allow one week for approval process. To be completed by the University of San Francisco Compliance Office The above activity has been reviewed in accordance with NCAA regulations for donations and promotional activities. The above request is ______ Approved ______ Denied __________________________________________ Compliance Signature
______________________ Date
Please return completed form to: USF Athletic Compliance Office, 2130 Fulton St, San Francisco CA, 94118 or fax to 415.422.2510
Phone: ____________________
Organization’s Full Address: ___________________________________________________________________________________________ ______________________________________________________________________________________________________________________________ Type of Organization: ____ Elementary School ____ Middle School ____ Non-Profit Organization ____ Organization with 501(c)(3) tax exempt status 501(c)(3) ID number: _______________________________ ____ None of the above – please specify: ___________________ Donation Request: ____ Discounted or Free Tickets ____ Other items: _________________________________________________________________________ Is a flyer or brochure outlining the event attached (please circle)? Yes No What will the funds raised be used for? ______________________________________________________ If funds will benefit students, please list ages or grades of students: _______________________________ Please note: The NCAA prohibits institutions from providing or arranging financial assistance, directly or indirectly (i.e. fund raisers) for prospects (defined as any student in 9th-12th grades). All donation requests are reviewed for compliance with NCAA rules before being filled. ORGANIZATION REPRESENTATIVE: By signing below, I understand that my request may be approved based on the information provided on this form. Any changes to the information provided will require a new request to ensure compliance with the appropriate NCAA rules. _________________________________ __________ Name (Print)
_______________________________ Signature
________________ Date
Please allow one week for approval process. To be completed by the University of San Francisco Compliance Office The above activity has been reviewed in accordance with NCAA regulations for donations and promotional activities. The above request is ______ Approved ______ Denied __________________________________________ Compliance Signature
______________________ Date
Please return completed form to: USF Athletic Compliance Office, 2130 Fulton St, San Francisco CA, 94118 or fax to 415.422.2510
