Community Involvement Request (Non-Monetary)

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* 1. Contact Information

Organization Name

Phone

Website URL

Address

Address 2

City

State

Zip Code

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* 2. Project Information

Project / Event Name

Primary Contact

Location

Date

Time (Start and End)

Is the Event/Service Reoccurring? (Y/N)

Dress Code/Attire for Volunteers (if applicable)

Deadline to Commit (mm/dd/yy)

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* 3. Has your organization been granted 501(c)(3) status, or not?

Yes, it has

No, it has not

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* 4. Briefly describe the mission of your organization

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* 5. Briefly describe the project/event for which your organization seeks support and who it serves

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* 6. Briefly describe how the requested funds will align with Level One Bank’s philanthropic focus areas

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* 7. Briefly describe the services requested/duties of volunteers

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* 8. Does the project/event for which you are seeking support service communities in Oakland, Wayne, Macomb, or Kent Counties?

Yes

Comment

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* 9. Does your organization serve a majority (>50%) low-to-moderate income individuals or families?

Yes

Comment

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* 10. Describe any recognition or benefit Level One Bank will receive by participating (advertising, announcements at event, banners, etc.), if applicable:

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* 11. Do you have an existing or previous relationship with Level One Bank? If so, please explain.

Yes

Comment

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* 1. Contact Information

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* 2. Project Information

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* 3. Has your organization been granted 501(c)(3) status, or not?

Question Title

* 4. Briefly describe the mission of your organization

Question Title

* 5. Briefly describe the project/event for which your organization seeks support and who it serves

Question Title

* 6. Briefly describe how the requested funds will align with Level One Bank’s philanthropic focus areas

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* 7. Briefly describe the services requested/duties of volunteers

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* 8. Does the project/event for which you are seeking support service communities in Oakland, Wayne, Macomb, or Kent Counties?

Question Title

* 9. Does your organization serve a majority (>50%) low-to-moderate income individuals or families?

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* 10. Describe any recognition or benefit Level One Bank will receive by participating (advertising, announcements at event, banners, etc.), if applicable:

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* 11. Do you have an existing or previous relationship with Level One Bank? If so, please explain.

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* 12. Describe any additional contribution requests or comments here