St. Patrick’s Celebration Committee
Charity Selection Process
Please complete the
information below. In the past the St. Patrick’s
Celebration Committee has given primary consideration to those
organizations whose mission serves the children of
Please send completed
application to:
St. Patrick’s Celebration Committee, c/o Sherri
Buttenhoff, 30 Locust Lane, Emporia, KS
66801
OR email to:
sb6751@att.com
Organization Name:
_________________________________________________________________
Contact Person:
_______________________________ Phone: _____________________________
Primary source of
funding:
_____________________________________________________________
Organization
Mission:
Dollar amount
requested: ______________________________
Project/Use of the
funds (also indicate the need for the funds):
Are you willing to
participate in the fundraising activities, such as selling raffle tickets and
assisting with the auction?
Are you willing to participate in the
St. Patrick’s Day Parade?
Have you received funds
from the St. Patrick’s Committee in the past?
If so, what were the funds used for?
Other: Supply any other information you feel would
be useful in the selection process.
(Use the back side of this
application or an additional sheet of paper, if necessary.)