Florida Gulf Coast University Office of Intercollegiate
Florida Gulf Coast University Office of Intercollegiate Athletics Donation Request Form The following information must be provided in order to determine the permissibility of FGCU’s participation in donating to promotional, charitable, and educational activities. Please return the completed, signed form to the FGCU Compliance Office or email at [email protected]. Please allow at least three weeks for review and approval. Questions? Call (239) 745-4359.
Requesting Organization: ___________________________________________________ Team(s) Involved:_________________________________________________________ Contact Name: _________________________________Phone Number: ___________________________________ Email Address: _________________________________Organization Website:_______________________________ Is this a charitable, educational, or non-profit organization?
Yes
No
Date and Time of Event:________________________________________________________________________ Location of Event:_____________________________________________________________________________ Does this activity and/or this organization benefit high school-aged individuals?
Yes
No
If yes, provide age range or grade level of beneficiaries: _______________________________________________ Is this a fundraising activity?
Yes
No
If yes, describe in detail where the proceeds will go and how they will be used:_____________________________ _____________________________________________________________________________________________ What item is requested? ___ Tickets (specify sport, date, and number): ___________________________________ ___ FGCU sports memorabilia (specify item): _____________________________________ No item bearing the name of an individual student-athlete may be auctioned or sold.
___ Are autographs desired? If yes, specify sport:___________________________________ ___ Head Coach
___ Team (autographs of individual student-athletes are not permitted)
No item bearing only the autograph of an individual student-athlete may be auctioned or sold.
I, _________________________ confirm that all of the funds generated by any donation of FGCU athletics will be directly distributed to the charitable, educational, or nonprofit agency, and that the agency understands NCAA rules outlined in this form.
____________________________________ Signature
_______________________________ Title
________________ Date
Athletics Dept Use Only Request: ________Approved ________Denied By:_______________________________ Date:__________
Requesting Organization: ___________________________________________________ Team(s) Involved:_________________________________________________________ Contact Name: _________________________________Phone Number: ___________________________________ Email Address: _________________________________Organization Website:_______________________________ Is this a charitable, educational, or non-profit organization?
Yes
No
Date and Time of Event:________________________________________________________________________ Location of Event:_____________________________________________________________________________ Does this activity and/or this organization benefit high school-aged individuals?
Yes
No
If yes, provide age range or grade level of beneficiaries: _______________________________________________ Is this a fundraising activity?
Yes
No
If yes, describe in detail where the proceeds will go and how they will be used:_____________________________ _____________________________________________________________________________________________ What item is requested? ___ Tickets (specify sport, date, and number): ___________________________________ ___ FGCU sports memorabilia (specify item): _____________________________________ No item bearing the name of an individual student-athlete may be auctioned or sold.
___ Are autographs desired? If yes, specify sport:___________________________________ ___ Head Coach
___ Team (autographs of individual student-athletes are not permitted)
No item bearing only the autograph of an individual student-athlete may be auctioned or sold.
I, _________________________ confirm that all of the funds generated by any donation of FGCU athletics will be directly distributed to the charitable, educational, or nonprofit agency, and that the agency understands NCAA rules outlined in this form.
____________________________________ Signature
_______________________________ Title
________________ Date
Athletics Dept Use Only Request: ________Approved ________Denied By:_______________________________ Date:__________
