Community > Online Funding Request Form

Online Funding Request Form

Charity CCRA I.D. number *

Contact Name & Title *

Organization name

Mailing Address *

Phone *


Email *

Description of organization. Include major sponsors, whether it’s a local, regional or national organization, etc.

What percentage of your annual budget is spend on the following:



Nature of Request

Due date for funds or in-kind donations *

Amount of funds or description of in-kind requested *

Purpose of donation/sponsorship, including:

  • A brief description of the funding request
  • Target audience, geographic area and the number of people served
    List of current donors
  • A project or program budget detailing expenses and anticipated income sources

Purpose of donation/sponsorship

What form of recognition, if any, will be provided to acknowledge Savanna’s participation?:

Form of recognition