Community Involvement Request Form

To be considered for a donation, complete this form in its entirety and click the "Submit" button below. In order to allow time for review, please submit requests at least 30 days prior to the date the donation is needed.




Name of Organization:

Name of Contact:

Address:

City, State, Zip:

   

Email Address:

Telephone Number:


Amount of request:
Referred by:
 
Purpose of request:
 
Opportunities for Idaho Central employees to volunteer:
 
Please identify advertising/promotional opportunities that accompany this request: