Youth Program Funds Request

Tuesday Noon Cedar Rapids Optimist Club - Request Funds for your youth-based program using this form.   

It takes two to four weeks for us to process your donation request. Donation requests made less than two weeks prior to an event will not be considered. Remember, because of the large amount of donation requests that we receive it is impossible to fulfill every request. Thank you and remember to click on submit!

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Enter your name

Enter your organizations name

 *
Enter your email address *
Enter your phone number *
Enter your funds request amount *
Briefly describe your organization. Who you are, what you do, and why you do it. *
Describe the program or event that the funds will be used for. *
Approximately how many youths will this impact? *
What communities/neighborhoods will be served by this program or event? *
How will the funds be used? *
What % of the funds will go toward administrative expenses? *

Are you asking and/or getting funds from other sources? If so, please include the details.

 *
Does this program have a track record? If so, please provide statistics. *
Are there volunteer opportunities for Optimist members to help with this event or program? *
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