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 Pellissippi State Foundation
 10915 Hardin Valley Road
 P.O. Box 22990
 Knoxville, TN 37933-0990
 (865) 694-6528


Pellissippi State | Pellissippi State Foundation | Forms


Pellissippi State Foundation: Request for Fundraising Activity Form

Note: To be completed by faculty or staff who intend to solicit funds or undertake fundraising activities (see Pellissippi State Policy 08:14:00, "Foundation"). Student organizations must apply through the Student Life and Recreation Office using the Fundraising Event Application.

Name of person submitting request
Mr.    Mrs.   Ms.   Dr.   

E-mail address (required)

Phone

Name or organization or department

Your association with the organization or department

Type of fundraising activity

If this is an event, please complete the following three items:

 

Date of event

Place

Times

Will this require a contract with any outside organizations? (Yes or No)

If yes, explain

Projected attendance

Cost of Admission

Projected amount of money to be raised

Name of personal responsible for handling money

Purpose of fundraising event

If the activity involves solicitation in person or by mail, please complete the following:

 

Projected date of mail out

Projected date of personal contact

Amount or item to be requested from each donor

Names of donors to be solicited. If your prefer to mail or fax the Foundation Office a list (see Contact Us), please indicate this in the box below:

Please enter your proposed fundraising letter and/or case statement. If you prefer to mail or fax a copy to the Foundation Office, please indicate this in the box below:

Request is supported by (Name of Vice President, Associate Vice President, Department Head, Director, or Dean)

Notice to users: the information you submit on this form is being sent over a secure server. Your privacy is important to us. We will not share this information with a third party. By giving us your e-mail address you agree to let us send you information from the Foundation Office.



Thank you for completing this form.

Last Updated: 01/30/06

Foundation Office Use: Approvals

Vice President of College Advancement ________________________________Date_________

President _________________________________________________________Date_________