Fundraising Event Approval for outs 5E117BDF79B27 by dEGCSJ

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									                           YOUTH & SHELTER SERVICES, INC. (YSS)

      COMMUNITY GROUP FUNDRAISING EVENT WITH PROCEEDS DESIGNATED FOR YSS
                     We are grateful for your support of our youth mission!



Please Note: Requests should be made as far in advance of the event as possible. Any event that
includes alcohol will not be considered for approval.

Community Group making request: ___________________________________________________

Name of Event: __________________________________________________________________

Date and Time of Event: ___________________________________________________________

Location of Event: _________________________________________________________________

Contact person: Title: ______________________________________________________________

Contact phone number: _________________ Contact email: ______________________________

Faculty or staff advisor: ____________________________________________________________

Faculty or staff advisor phone number or email: _________________________________________

How will YSS’ name be used for the fundraising event or advertising plan? _____________________

_______________________________________________________________________________

_______________________________________________________________________________

If your donation is to be designated for a specific program, please indicate. ____________________

_______________________________________________________________________________

Will you be raising funds or donating items? _____________________________________________

If items, please list and project quantity: _______________________________________________

Estimate of funds to be raised: _______________________________________________________

Assistance from YSS requested (example: meet with you prior to or during the event; YSS
participants to attend): _____________________________________________________________

_______________________________________________________________________________



Signature: ____________________________ Date: _____________________________________
                                               PAGE 2


Please attach a copy of any materials that will be used to promote the event.

If you have questions or need guidance, contact Teresa Stolfus, Community Resources Coordinator
at 515-233-3141 or email tstolfus@yss.ames.ia.us.



                                   Send form and attachments to:

                                  Youth & Shelter Services, Inc.
                             ATTN: Community Resources Coordinator
                                         PO Box 1628
                                        Ames, IA 50010



                                            www.yss.org




Request received: _____________________ Approval date: _____________________________

Signature of YSS representative: _____________________________________________________

								
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