Corporate Donation Request Form

The TCB Enterprise/TASC Employee Philanthropy Committee reviews donation requests on a monthly basis. It is recommended that requests are made at least three (3) months in advance of when funds are needed. Organizations are encouraged to package all requests for the coming year into one submission. Only organizations that align to our philanthropic priority areas and are registered 501(c)3 organizations will be funded.

Please provide as much detail as possible so the Committee can make an informed decision. Feel free to reach out to us at (CARES@tasconline.com) if you have any questions or if you are unsure if your request aligns to our philanthropy priorities.

1. Organization Details *This question is required.

Organization Name

Organization Contact Name (First & Last)

Contact's Email Address

Organization's Web Site

Street Address

City

State

Zip

EIN Number

2. Has your office or mailing address changed in the last year? *This question is required.

3. Has your organization requested funds from TASC/TCB Enterprise in the past three (3) years? *This question is required.

4. If you indicated you previously requested funding, please indicate date/year and amount of approved funds in the last 3 years. Please also include what event/project the funds were used.

Space Cell	Date (Month/Year)	Amount	Used for:
Details of Approved Funding	Details of Approved Funding: Date (Month/Year)	Details of Approved Funding: Amount	Details of Approved Funding: Used for:
Details of Approved Funding	Details of Approved Funding: Date (Month/Year)	Details of Approved Funding: Amount	Details of Approved Funding: Used for:
Details of Approved Funding	Details of Approved Funding: Date (Month/Year)	Details of Approved Funding: Amount	Details of Approved Funding: Used for:
Details of Approved Funding	Details of Approved Funding: Date (Month/Year)	Details of Approved Funding: Amount	Details of Approved Funding: Used for:

5. Share briefly about the work of the organization and how it benefits the community. *This question is required.

6. Our philanthropic priorities are focused to provide more impact in our communities. These current priorities are:
Health: As an employee benefits company, improving the health outcomes and building healthier communities is a key component of our business. Our giving strategy in this area supports organizations and programs dedicated to:

equitable access to health care for underserved populations,

supporting families facing critical illnesses or who have experienced trauma, and
ensuring mental health resources and care.

Education: We support programs focused on academic success and educational attainment of students from kindergarten to high school graduation. The Committee will consider funding both in-school and out-of-school programs that reduces the opportunity gap and equips students to graduate career and community ready. We are most interested in programs that support:

resources to help underserved student succeed including:

mentoring and tutoring

supplies and technology
food and transportation

Essential Needs: Food and housing insecurity are both deeply connected to health and education challenges.

Living on the street or in homeless shelters exacerbates existing health problems and causes new ones. TCB Enterprise supports programs and organization that help families find a place to call home and addresses needs of homelessness while removing barriers for people of color and creating financial stability.
Food insecurity is also linked to chronic illnesses, and hungry students do less well in school as they are unable to focus. We provide financial support to organizations addressing housing and/or food insecurity in our communities with preference given to organizations who have a health or education connection.

Please indicate the PRIMARY philanthropic priority that your organization or this project MOST CLOSELY ALIGNS. *This question is required.

IF APPLICABLE: Please indicate the SECONDARY philanthropic priority that your organization or this project MOST CLOSELY ALIGNS.

Diversity, Equity and Inclusion Commitment

8. Does your organization have a diversity, equity and inclusion policy that has been approved by your governing board? *This question is required.

10. How do you draw upon diverse perspectives in the community to advance your work? *This question is required.

11. What progress has your organization made to increase its diversity in the last two years? *This question is required.

12. What diversity, equity and inclusion challenges does your organization face in its work overall? *This question is required.

ABOUT THE DONATION BEING REQUESTED

13. Amount (Please note we don't typically fund more than $5,000 through this donation process) *This question is required.

14. These funds are for: *This question is required.

General Operating
Event Sponsorship
Specific Program Support
Capital Campaign
Matching Donation
Other - Write In Please enter an 'other' value for this selection.

15. Share about your request for financial support. How will funds be used? Share specifics about the program including the individuals who will benefit as well as any collaborative or innovation aspects of your request. *This question is required.

16. If requesting event sponsorship or program support, attach sponsorship information or program details. You may also provide a web link to this information below if that is easier.

File: {{filename}} delete

17. Web link for sponsorship or program details:

18. Please describe how approved donations would be recognized. *This question is required.

19. Would you be interested in having one of our employees on your board or committee? If yes, please describe the opportunities available and who should be contacted for more information. You can also reach out to CARES@tasconline.com to share more specific details.

20. Feel free to share any additional information that would help the Committee in making a decision about funding.

21. Would you be interested in learning more about our kind program for your nonprofit that provides up to $1000 per year in flex benefit services? *This question is required.

Corporate Donation Request Form

Submissions made by the 15th of the month are typically reviewed that month