Online Funding Application

Your Name* (required)

Your Email* (required)

Phone Number

Date Funding is Needed

Organization Name

Organization Address

Organization's Mission Statement/Purpose

Total Cost of Project/Experience* (required)

Amount Requesting from BTC Area Youth Benefit Corp.?* (required)

Please outline how the funds will be used and number of youth participating.

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

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

Is your organization doing additional fundraising to fulfill this project?
YesNo

How did you learn about BTC Area Youth Benefit Corp.?
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?
YesNo

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

Name

Email

Phone

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