Charity Wish List Submission Form - The Community Foundation of West Georgia

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Charity Wish List Submission Form

One of the primary objectives of the Community Foundation of West Georgia is to increase philanthropy by making it easy for people who want to make a difference, connect to various community needs. We are happy to help promote charitable giving, whether it is through the Community Foundation or directly to a charity. Needs submitted for listing on our website should address a significant need affecting a broad segment of the region's population or special populations considered at risk. This opportunity is open to any non-profit agency which serves the Carroll, Haralson or Heard county areas.

Instructions
1. Complete the information below. Be concise and specific.
2. Consider submitting needs with a range of "price tags"; a donor who makes a $100 gift now and has a goodexperience may eventually make a larger gift.
3. Submit your completed form in one of the following ways:

*Via e-mail to info@cfwg.net*
By mail to the Community Foundation of West Georgia, 200 Northside Drive, Carrollton, GA 30117*
By fax to (770) 832.1300, attention Community Foundation of West Georgia
Or by completeing the online form below.

4. Keep the Foundation informed as needs are met, particularly if they are met as a result of being listed on ourwebsite.
5. Understand that donations requested must be tied to a specific program or project (i.e. no items are to berequested for use at fundraisers or auctions; no donations should be requested for general operating purposes).
6. Update your listing as needs change by one of the choices listed in #3.

* Denotes Required Field

*
Today's Date

(For example - January 1, 2007)

* Organization Name:

Address:
* Street Address

* City

State

* Zipcode

* County:

* Contact Person:

* Phone:

Email:

Website:

Tax ID Number:

* Year Operations Began:

* Primary Focus Area of Organization

Animal Services

Arts & Culture

Child & Youth Development

Economic Development

Education

Environmental/ Greenspace

Human Services

Medical

Counties Served:(Check all that apply)

Carroll

Haralson

Heard

* Organization mission Statement (not to exceed 50 words)

Need #1:

Descriptive title: (For example: Summer Camp Scholarships, Washer & Dryer, Resource Materials)

Project description: (Be specific about the project and its goals. For example: "Scholarships for at-risk girls to our annual two week summer camp. Each scholarship will provide students with meals, transportation, and outdoor experiences.")

Project cost: (For example: $250 per student)

In kind gifts accepted?

Yes

Total Amount Requested: (For example: $250 per student for up to 15 students; $3,750 if fully funded)

Need #2:

Descriptive title: (For example: Summer Camp Scholarships, Washer & Dryer, Resource Materials)

Project cost: (For example: $250 per student)

In kind gifts accepted?

Yes

Total Amount Requested: (For example: $250 per student for up to 15 students; $3,750 if fully funded)

Need #3:

Descriptive title: (For example: Summer Camp Scholarships, Washer & Dryer, Resource Materials)

Project cost: (For example: $250 per student)

In kind gifts accepted?

Yes

Total Amount Requested: (For example: $250 per student for up to 15 students; $3,750 if fully funded)

The Community Foundation of West Georgia, Inc. reserves the right to exclude any submissions at our discretion. The Foundation also reserves the right to edit any information provided by the submitter, including URL's, images, or descriptions. If you have any questions, please feel free to contact the Foundation at (770)832-1462.