Online Donation Request - Formstack

Organization and Contact Information

Name of Organization*

UBI Number (Unique Business Indentifier)*

Please enter your UBI Number here:

Attachment of UBI document*

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Please upload proof of your Unique Business Identifier (UBI) Number

Attachment of Board of Directors

No File Chosen

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Attachment of organization budget

No File Chosen

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I confirm that my requests fall within the guidelines of the Charitable Fund listed above. I understand applications for Program Support, Event Support, Capital Campaign or other are only reviewed in October and April of each year. I further understand that requests for an auction or raffle item must be submitted 90-days prior to the date of my event.

Name of requester:*

Requester's title*

Phone number of requester:*

Requester email address:*

Address of organization:*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone number of organization:*

Organization's mission:*

Has your organization ever received support from the Kalispel Tribe?*

Yes No

If Yes, please describe funding provided:

Type of Request

Grant type (Select all that you will be applying for)

Program Support Event Support Auction or Raffle Item Other

Program Support

Program Name*

Program Description*

Donation amount requested*

Overall cost of program*

Attachment of program budget

No File Chosen

File uploads may not work on some mobile devices.

Has your organization ever received funding from the Kalispel Tribe for this program? - Copy*

Yes No

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation to this program?*

How will your organization recognize the Kalispel Tribe's support for this program?*

Additional attachment option

No File Chosen

File uploads may not work on some mobile devices.

Add additional Program Support*

Yes No

Program Support

Program Name*

Program Description*

Donation amount requested*

Overall cost of program*

Attachment of program budget

No File Chosen

File uploads may not work on some mobile devices.

Has your organization ever received funding from the Kalispel Tribe for this program? - Copy*

Yes No

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation to this program?*

How will your organization recognize the Kalispel Tribe's support for this program?*

Additional attachment option

No File Chosen

File uploads may not work on some mobile devices.

Add a 3rd Program Support*

Yes No

Program Support

Program Name*

Program Description*

Donation amount requested*

Overall cost of program*

Attachment of program budget

No File Chosen

File uploads may not work on some mobile devices.

Has your organization ever received funding from the Kalispel Tribe for this program?*

Yes No

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation to this program?*

How will your organization recognize the Kalispel Tribe's support for this program?*

Additional attachment option

No File Chosen

File uploads may not work on some mobile devices.

Event Support

Event Name*

Event Description*

Event type*

(ie. Golf tournament, fundraiser, dinner, auction, gala, other)

Donation amount requested*

Are other sponsorship levels available?*

Yes No

Sponsorship level Attachment

No File Chosen

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Overall cost of event?*

Date of event*

Event location:*

Will the Kalispel Tribe receive tickets/seats or entries to your event? If so how many?*

Target Audience for event?*

Attachment of event budget:

No File Chosen

File uploads may not work on some mobile devices.

Has your organization received funding from the Kalispel Tribe for this event?*

Yes No

How will your organization recognize the Kalispel Tribe's support for this event?*

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation to this event?*

Additional attachment option

No File Chosen

File uploads may not work on some mobile devices.

Add additional Event Support*

Yes No

Event Support

Event Name*

Event Description*

Event type*

(ie. Golf tournament, fundraiser, dinner, auction, gala, other)

Donation amount requested*

Are other sponsorship levels available?*

Yes No

Sponsorship level Attachment

No File Chosen

File uploads may not work on some mobile devices.

Overall cost of event?*

Date of event*

Event location:*

Will the Kalispel Tribe receive tickets/seats or entries to your event? If so how many?*

Target Audience for event?*

Attachment of event budget:

No File Chosen

File uploads may not work on some mobile devices.

Has your organization received funding from the Kalispel Tribe for this event?*

Yes No

How will your organization recognize the Kalispel Tribe's support for this event?*

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation to this event?*

Additional attachment option

No File Chosen

File uploads may not work on some mobile devices.

Add 3rd Event Support*

Yes No

Event Support

Event Name*

Event Description*

Event type*

(ie. Golf tournament, fundraiser, dinner, auction, gala, other)

Donation amount requested*

Are other sponsorship levels available?*

Yes No

Sponsorship level Attachment

No File Chosen

File uploads may not work on some mobile devices.

Overall cost of event?*

Date of event*

Event location:*

Will the Kalispel Tribe receive tickets/seats or entries to your event? If so how many?*

Target Audience for event?*

Attachment of event budget:

No File Chosen

File uploads may not work on some mobile devices.

Has your organization received funding from the Kalispel Tribe for this event?*

Yes No

How will your organization recognize the Kalispel Tribe's support for this event?*

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation to this event?*

Additional attachment option

No File Chosen

File uploads may not work on some mobile devices.

Auction or Raffle

Event Name*

Description of event*

Donation requested*

Date of event*

Event Location*

Has your organization received an auction or raffle item for this event?*

Yes No

How will your organization recognize the Kalispel Tribe's donation?*

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation to this event?*

Additional attachment option

No File Chosen

File uploads may not work on some mobile devices.

Add additonal Auction or Raffle*

Yes No

Auction or Raffle

Event Name*

Description of event*

Donation requested*

Date of event*

Event Location*

Has your organization received an auction or raffle item for this event?*

Yes No

How will your organization recognize the Kalispel Tribe's donation?*

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation to this event?*

Additional attachment option

No File Chosen

File uploads may not work on some mobile devices.

Add 3rd Auction or Raffle*

Yes No

Auction or Raffle

Event Name*

Description of event*

Donation requested*

Date of event*

Event Location*

Has your organization received an auction or raffle item for this event?*

Yes No

How will your organization recognize the Kalispel Tribe's donation?*

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation to this event?*

Additional Attachment Option

No File Chosen

File uploads may not work on some mobile devices.

Capital campaign name

Description of capital campaign

Capital campaign requested amount

If approved would this be paid in one lump sum or over a period of agreed upon time?

Overall capital campaign goal

Amount raised as of today

Attachment of budget:

No File Chosen

File uploads may not work on some mobile devices.

Attachment of board or directors(names, title and phone number)

No File Chosen

File uploads may not work on some mobile devices.

How does your organizations capital campaign vision align with the Kalispel Tribe's Charitable Fund goals?

Has your organization received funding from the Kalispel Tribe?

Yes No

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation?

How will your organization recognize the Kalispel Tribe's donation?

Other

Request Name:*

Description of Request*

How will Spokane and/or Pend Oreille county benefit from the Kalispel Tribe's donation?*

Has your organization ever received a donation for this before?*

Yes No

Donation requested*

Additional Attachment Option

No File Chosen

File uploads may not work on some mobile devices.