Grant Recommendation Form

Grant Recommendation Form

Complete this form to recommend a grant ($200 minimum) from your Donor Advised Fund to support a public charity. This form can also be printed and mailed to you. If you need assistance, call (507) 282-0203 or send an email to giving@rochesterarea.org.
Fund Name*
Primary Advisor*

First NameLast Name
E-mail
Grant Details
How many grants would you like to recommend? You can recommend up to 10 grants on one form.*
Grant #1

please note that the minimum grant request is $200
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor Of
Special Project:
If applicable
In Honor of:
If applicable
In Memory of:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
Grant #2
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor
In Honor of:
If applicable
In Memory of:
If applicable
Special Project:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
Grant #3
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor
In Honor of:
If applicable
In Memory of:
If applicable
Special Project:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
Grant #4
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor
Special Project:
If applicable
In Honor of:
If applicable
In Memory of:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
Grant #5
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor
Special Project:
If applicable
In Honor of:
If applicable
In Memory of:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
Grant #6
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor
Special Project:
If applicable
In Honor of:
If applicable
In Memory of:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
Grant #7
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor
Special Project:
If applicable
In Honor of:
If applicable
In Memory of:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
Grant #8
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor
Special Project:
If applicable
In Honor of:
If applicable
In Memory of:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
Grant #9
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor
Special Project:
If applicable
In Honor of:
If applicable
In Memory of:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
Grant #10
Purpose of Grant:

UnrestrictedGeneral Operating ExpensesSpecial ProjectIn MemoryIn Honor
Special Project:
If applicable
In Honor of:
If applicable
In Memory of:
If applicable
If you would like us to acknowledge your gift to the family, please provide their contact information below.
If you would like to give an additional grant to Rochester Area Foundation, please indicate the amount below.
Rochester Area Foundation Grant Amount:
the minimum grant amount is $200
Recognition
A letter accompanying your grant(s) will be sent to your selected charity. Please indicate your preference for recognition.*

Recognize Fund NameAnonymous
Acknowledgment of Terms
I understand that this is a recommendation and not a direction. I further understand that Rochester Area Foundation (RAF) reviews all grants to ensure that the organization is a qualified charity under IRS regulations, and that the purpose of the grant is charitable in nature. RAF may deny a recommendation if the grant does not meet criteria for approval.

I acknowledge that this grant is NOT intended to:
- Fulfill an existing pledge. (An existing pledge is one made before this grant has been approved by RAF.)
- Acquire more than an incidental benefit, good, or service for any specific individual or myself.
- Pay for event sponsorship, event tables, items from a charitable auction, or other goods or services.
- Support a political campaign or lobbying activity.
- Support an individual (scholarships, tuition, awards).
- Support a private non-operating foundation.
Signature - use your mouse (or finger on a touch-enabled device) to sign your name in the box below. *

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Date*

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Additional notes or comments for RAF staff:
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Grant Recommendation Form

Grant Details

Grant #1

Recognition

Acknowledgment of Terms