WIDE CHARITABLE CONTRIBUTION CAMPAIGN

APPLICATION for CAMPUS-WIDE CHARITABLE CONTRIBUTION CAMPAIGN
Name of Organization:	                      
Address:	                                                     
Phone:	                                                     
Contact Person:	________________________________________________	
Please indicate:
___	Organization is tax-exempt under 26 U.S.C. 501(c) 3.
___	Organization has filed Form 990 with the I.R.S. (Attach copy).
___	Organization has a policy against discrimination (Attach copy).
___	Organization has had an audit of financial affairs within last three years.