Thank you for providing us with information on your organization, and for giving us an opportunity to support your group. The communities we serve are important to us and our contributions demonstrate a commitment to meet the needs within those communities. With those contributions, we strive to help as many people possible. It is important to note that we do not donate to political organizations, organizations that discriminate, trips, or tours. By submitting this form, the signee understands that this is not a guarantee that they will receive the requested funds. The undersigned certifies that they are authorized to represent the organization applying for a contribution and that the information contained in this application is accurate. The undersigned agrees that if a contribution is awarded to the organization: (1) the contribution will be used for the purpose outlined in the award letter and may not be expended for any other purpose without prior written approval from Citizens Bank, (2) Citizens Bank has received nothing of material value, aside from noted sponsorship benefits, in exchange for contribution. Additionally, the signee certifies that the request follows the guidelines set forth in the application and is apolitical in nature. Forms must be completed 30 days prior to event date. Applications will be evaluated by bank management. Please allow 2-3 weeks to process your request.