Donation/Sponsorship Request Form

Thank you very much for your interest in involving the Hickman Automotive Group in your charitable goals. Our primary donation policy is to contribute to our local community in ways that promote the education, safety, and health of our community’s children.
We thank you for making us aware of your need for assistance and ask that you complete the following survey to help our committee make their decision.

Thank you for considering a partnership with the Hickman Automotive Group.

Please fill out the below form.

Eligibility Criteria:*Must be a CRA Registered Charity or Non-ProfitHave a track record of quality service delivery and demonstrated resultsDemonstrated fiscal responsibility and long-term sustainability

Have you received funding from us before?YesNo

Name of Organization*

Name of Contact Person*

Address*

Street Address*

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

CRA Registered Charity or Non-Profit Number*

Phone Number

Email*

Name of Event*

Date of Event*

Total Amount Requested*

Will the requested donation be used for?Recurring operating expensesCapital campaign and/or non-recurring initiatives

In 100 words or less, give a general overview of the event or project for which you are requesting funds:

In 300 words or less, describe and document/justify the need(s) the project will address:

In 500 words or less, provide the rationale, including evaluation results, data, or research, that supports why the project is likely to be successful:

Describe in detail your method of acknowledging benefactors:

I agree to receive periodical offers, newsletter, safety and recall updates from the dealership. Consent can be withdrawn at any time.