Disaster Relief Fundraising Form

Thank you for your interest in fundraising! In order to best support your organization/group in raising funds we have created this form to assist your organization in upholding the policies of the University as well as the laws of Connecticut. This form was created based on the procedures set forth in the “Guidelines and Legal Requirements for UConn Departments/Organizations and Student Organizations Seeking to Raise Money for Disaster Relief Efforts”.

Should you have any additional questions or comments please do not hesitate to contact Miguel Colon in Community outreach at miguel.colon@uconn.edu.

Disaster Relief Fundraising Form

Name*
First Last
Student Organization(s) or University Department(s) Group Name*
Phone*
Email*
UConn Campus*
- Avery Point
- Greater Hartford
- Law School
- Medical School
- Stamford
- Torrington
- Social Work
- Storrs
- Waterbury
Check one, or more if it is a co-sponsored event.
Is this fundraiser sponsored by a University department or student organization?*
- Yes
- No
Are there multiple sponsors from the University?
- Yes
- No
Please list all sponors:
Is this fundraiser co-sponsored with a for profit business or nonprofit organization outside of the University?*
- Yes
- No
Please list outside business(s) or organization(s):
Detailed description of fundraising project:*
What nonprofit organization will the funds be directed to?*
How will this fundraiser be advertised?*
Plesae be sure to provide and keep any flyers or text of advertising (i.e. from social media or emails that you use).
How will the money be collected and counted?*
Name of primary person responsible for counting the money:*
First Last
Name of secondary person responsible for counting the money:*
First Last
When will the money be counted?*

Money should be counted as soon as possible after (preferably immediately after) an event.
What kind of documentation will you provide to prove that the donated money was given to the target organization?*
For example a copy of a cancelled check or a thank you note from the target organization.
How will the results of the fundraiser be documented and shared?*
Are you completing this form before or after your event?*
- Before
- After
Please let us know how much money you raised:*
Are you looking for other groups to assist you with this project?
- Yes
- No
Do you have any further questions or comments for us?
Phone
This field is for validation purposes and should be left unchanged.

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Department of Student Activities
Community Outreach
Student Union
2110 Hillside Road | Storrs, CT 06269
Phone: (860) 486-8151 | Fax: (860) 486-8821

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