DOWNLOAD GUIDEDOWNLOAD THE GUIDECommunity Outreach Form Employee Name:(Required) Date(Required) MM slash DD slash YYYY Store # / Corporate Dept:(Required) Job Title(Required) Phone(Required)Email(Required) How can we reach you?(Required) Phone or Email Program applying for: (Check as many as apply)(Required) Volunteer Grants Trade Your Day Giving Match Community Clubs Board of Directors Other: Other: Organization you are involved with:(Required) Organization web page:(Required) Is the organization a 501(c)3?(Required) No Yes 501(c)3 Number What is the primary purpose of the organization?(Required) How will the requested funds/volunteer hours be used and who will it impact?(Required)Does this align with the Luke Family of Brands philanthropic focus on children and/or education?(Required) Yes No What is your involvement* in the organization? (Check as many apply)What is your involvement? I volunteer or plan to volunteer, Dates & Total Number of Hours: I donated or plant to donate funds I donated or plan to donate fund, Donation What is your involvement? I am joining the board of directors, Board of Directors What is your involvement? Other: Other: *A receipt of your donation or a record of your volunteer hours or other involvement must be submitted before a Luke Family Brands contribution is finalized. Your record can be attached to this form or can be submitted after approval of the request.Attach FileMax. file size: 64 MB.If you are supporting an organization with other Luke Family of Brands employees, please tell us about your involvement and request for additional resources. Include names of employees involved:(Required)Signature(Required)Date(Required) MM slash DD slash YYYY CAPTCHA DOWNLOAD THE GUIDE
