Online Funding Application

Your Name* (required)

Your Email* (required)

Phone Number* (required)

Date Funding is Needed* (required)

Full Organization Name - Payable To* (required)

Full Organization Address* (required)

Organization's Mission Statement/Purpose* (required)

Total Cost of Project/Experience* (required)

Amount Requesting from BTC Area Youth Benefit Corp.? - $300 per student MAX* (required)

Please outline how the funds will be used.* (required)

Number of youth participating.* (required)

Are there any BTC Bank employees involved with your organization? If so, please list.* (required)
YesNo

Has BTC AYBC contributed to the requesting organization in the past? If yes, please explain.* (required)
YesNo

Is your organization doing additional fundraising to fulfill this project?* (required)
YesNo

How did you learn about BTC Area Youth Benefit Corp.?* (required)
Word-of-mouthFacebookSearch engineAYBC event(s)NewspaperPrefer not to share

Do you certify that the facts contained in your application are true and complete to the best of your knowledge?* (required)
YesNo

I have questions before I'm ready to submit a funding application.

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