Request for Funds

We appreciate and welcome all applications that fit within the Affiliated Family Foundation’s mission.

The mission of the Affiliated Family Foundation is to encourage Century 21 Affiliated agents, partners and families to give back to our local communities in a meaningful and coordinated manner.

We strive to ensure that all funding decisions reflect our shared values of service, compassion, and community impact, while supporting meaningful initiatives and providing need-based scholarships and financial assistance to Century 21 Affiliated agents, staff, and their families.

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Is this an individual request or an office request?

Individual
Office

For the Recipient of Funds:

Foundation writes check payable to:

Recipient Name

Recipient Address

Address Line 1

Address Line 2

City

State

Zip Code

Details regarding the Recipient's request:

Answer to the best of your ability.

Describe the Recipient's cause and what the recipient hopes to achieve.

What could others learn or remember as a result of the Foundation's donation to this cause?

Does the recipient have a specific connection to an Affiliated employee, agent or office community? If yes, please explain.

Is there a specific due date?

the the If

How much funding are you applying for?

Have you, or do you intend to match the funds for which you are applying?

What will the Recipient apply the funds towards?

Are others providing the Recipient funding as well? If so, who and how much?

Anything else you'd like the Foundation Board to take into account when it reviews?

Upload any supplementary files:

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