Loveland SERTOMA Club #10754 Loveland SERTOMA Club #10754
Meetings Wednesdays 12:00 PM (noon)
302 3rd St. SE (enter SE door) Loveland, CO  80537
Donation Request Instruction
Please fill out as completely as possible. Use N/A to indicate if an area does not apply to this request.
E-Mail or mail the completed application form:

Loveland SERTOMA Club
200 E. 7th Street, Suite 120
Loveland, CO 80537

click on the Print a Form and Mail in , print out a hard copy, then mail to the above address.
OR
Fill out the form below and click on the Submit Form Request.
The form will be sent to the appropriate staff. Only ONE copy will be e-mailed.
Donation Request Form
Donation Request Form     
Name of Organization Date
Address
City     State     Zip Code  
Contact Person     Phone       
Briefly describe organization’s purpose:
Briefly describe organization’s main activities:
What is the organization’s total annual budget:
What are the organizations other sources of funding? What amounts are provided by each source?
Source #1 Amount
Source #2 Amount
Source #3 Amount
Source #4 Amount
Amount of funding requested: Date needed by:
Purpose of funds: (Please describe what you will do with the funds.)
Anticipated Benefits: (How will this make your task more beneficial to the community?)
Your Name: Title: EMAIL:
Submit Donation Request Print a Form and Mail in   
Loveland SERTOMA Club Charitable Giving Guidelines
A. Purpose
The Loveland SERTOMA Club, as a community service organization, devotes its charitable giving toward specific activities that provide a direct benefit within the Loveland area. The Loveland SERTOMA Club will, as a matter of policy, consider any requests for funding, but will tend to concentrate its resources within the following areas:

• Programs benefiting communication disorders
• Organized youth athletic programs
• Programs benefiting the disadvantaged, elderly, or handicapped

Within these areas, preference will be given to those programs in which the use of SERTOMA funds provides a discrete and recognizable benefit.

B. Eligibility
Any organization or program serving the needs of the Loveland community and its residents may be considered for funding. Requests from individuals are generally discouraged, but may be accepted from time to time if the Board of Directors determines unusual merit or benefit.

C. Amount of Funding
The Loveland SERTOMA Club will entertain requests for funding up to $1000. However, requests in the $100-$500 range will have a greater likelihood of approval. Any organization requesting funding greater than $250 may be invited to present their program at a regular membership meeting.

D. Application Procedures
All requests for funding will be accompanied by a completed application form. Additional supporting documentation is encouraged. Applications will be considered on a monthly basis, with a submission deadline of the first of any month for consideration during that month.

E. Review Procedures
Requests for funding will be screened by the Board of Directors for action. The Board of Directors meets on a monthly basis.