COMMUNITY IMPACT REQUEST

Complete Request for Community Support from Weisiger GROUP

Instructions: Please fill out the form based on your request. If you have additional attachments and/or information not covered by this form, please email them to giving@weisigergroup.com. Please only do so once your request has been submitted and make note of your request within your email.
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Your Name

Your Phone

Your Email

Which area of Weisiger do you currently work in?

Construction

LiftOne

Power Systems

Shared Services

What is the name and address of the organization you're requesting a donation for?

What is your relationship to this organization? (Ex. They are a Customer, I am a Volunteer, etc.)

What is the mission of the organization?

Are they a non-profit 501(c)(3) organization?

Yes

Provide their IRS EIN number.

Organization's Contact's Name

Contact's Address

Contact's Phone

Contact's Email

What are the organization's website and social media handles?

Where will the donation be used? Please provide city and state.

Is there a timeframe associated with this request? Please elaborate.

What focus area does this request fall under? (Ex. Facility Construction & Support, Education & Technical Training, etc.)

How can Weisiger support this initiative? (Ex. Financial Donation, In-Kind Equipment Donation, Volunteers, etc.)

Please expand on request detail below. (Include all request details including project budget, specific details of the request, how you will use Weisiger's resources and anticipated project outcomes)

How will Weisiger's involvement help the organization's mission?

How do you anticipate Weisiger working with the organization to promote this potential donation?

How will the organization sustain the project after Weisiger's involvement?

Please add any other request details if necessary.

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