Matching Funds Notification Form
If you are requesting matching funds from an employer, please fill out this form so CF can verify the donation, track the matching check, and deposit the funds in the correct booster club account.

Please use the full name of our organization when requesting a match from your employer: Centurion Foundation of University City High School, Centurion Alumni Foundation of University City High School, or our federal tax ID number which is 33-0073915. 
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Booster Club Name *
Name of Employee *
Enter the name of the employee that is having funds matched.
Employee Email *
Enter the email address of the employee that can be used if there are questions.
Employee Phone *
Enter a phone number of the employee that can be used if there are questions.
Employer *
Enter the name of the employer of the employee.
Date Requested
Enter the date the request was made for matching funds. Does not need to be exact.
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Date of Contribution
Enter the date the contribution was made.
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YYYY
Amount of Contribution *
Enter the amount the employee contributed.
Where Contribution was made that will be matched *
Amount of Match *
Amount to be paid by the company.
Company used to distribute the funds
The employer may use a third-party to facilitate the funds matching. If not listed, enter the name in the additional comments.
Additional Comments
Any additional information that may be needed to track the funds.
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