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About
Our Mission And History
What Is United Way?
Our Leadership
Our Reports
Donate
Room Reservations
Local Programs
Current Supported Agencies
Agency Grant Application
Get Involved
Donate
Volunteer
Leadership Giving
Community Pillars
Partner Companies
Day of Caring
Get Help
2-1-1 East Texas
Community Programs
East TX Center for Nonprofits
Upcoming Trainings
Nonprofit Management Certificate at UT Tyler
ETCN Membership
Nonprofit Job Opportunities
ETCN Contact Us
Sponsor Acknowledgement Form:
This form is required to pre-qualify a Partner who is seeking assistance. Once you submit, the Grant Administrator will send information on next steps and accessing the online grant.
BGC Partner Fund Sponsor Acknowledgement
"
*
" indicates required fields
BGC Sponsor's Name
*
Sponsor's Position/Title
*
Sponsor's BGC Partner ID Number
*
Workplace City/Town
*
Email
*
Phone
*
Partner's name you would like to sponsor
*
Partner's ID #
*
Partner's Best Contact #
*
Partner's PERSONAL email address
*
Partner's Position/Title
*
Store # and/or Department #
*
Please Check Appropriate Person in Need
*
Partner
Partner's Spouse
Partner's Minor Child
Partner's Legal Dependent
Please Check Appropriate Event or Crisis
*
Serious Injury (Requiring Hospitalization)
Serious Illness (Requiring Hospitalization)
Natural Disaster (includes hurricane, tornado, flood, ice/wind storm)
Death
House Fire
Discretionary (limited assistance may be considered for critical circumstances not included in the Qualifying Events, listed above)
Does this situation qualify for an urgent need request?
*
Yes
No
If yes, the partner may receive up to $1,000 within days of submitting the application while total request is being reviewed and considered. In order to receive immediate funds for an emergency situation, we must get the partner's banking details and good contact information. (Applicable in situations like a house fire where the partner has lost everything and needs immediate assistance). ANY IMMEDIATELY RELEASED FUNDS WILL BE CONSIDERED PART OF THE TOTAL GRANT AMOUNT THAT IS APPROVED LATER.
If yes, what amount are you requesting? (NOT TOTAL GRANT AMOUNT. JUST AMOUNT UP TO $1,000 FOR IMMEDIATE RELEASE.)
Partner's Bank Name (bank information for emergency requests only; other assistance is paid directly to entities owed by the partner)
Routing Number (9 Numbers that appear at bottom of check)
Account Number
Brief description of this situation
Email
This field is for validation purposes and should be left unchanged.
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