Name of Department/Organization Fundraising:
Fundraising Purpose:
Period of Fundraising Activity: Begins: Ends: Other:
Type of Fundraising Activity:
Statement As To The College's Need For The Item:
Fundraising Request For Approval
Print Name of Fundraiser Signature of Fundraiser Date
Approved Disapproved Sponsor Date
Approved Disapproved Vice President Date
Approved Disapproved Director of Institutional Advancement Date
Approved Disapproved
President (if seeking donations over $2,500)
Date
updated 09/02/15
$_______________
Projected Amount
To Be Raised
PANOLA COLLEGE
Fundraising Authorization
Internal
External
Both
Solicitation Type
List of all external donors must
be attached for approval from
the Office of Institutional
Advancement
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signature
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