Charity Request Form

ERC, Incorporated is committed to enriching the quality of life in the communities where our employees live and work.

Through financial contributions and employee volunteerism, ERC supports organizations dedicated to enhancing educational
opportunities, providing health and human services, and promoting the general welfare of all of our communities.

ERC, Incorporated will not fund the following:

Individuals
Private Foundations
Political organizations or campaigns

Organization Information
Organization Name*
Enter the name of your organization.
Address
Street Address Address Line 2 City State ZIP Code
Contact Person
First Last
Title
Phone
Email*
Website
Program Information
Program Name:
Requested Amount:
Purpose of Support
How will the funds raised for the program be used?
Area/Community served
Estimated number of people served
Date of program
Name / Signature*
First
Date*
In addition to a completed application, the following information is requested:
-A copy of the 501(c)(3) letter from the IRS
-Most recent financial statement
-Most recent Annual Report
-Organization’s mission statement and history
-List any ERC, Incorporated employees involved in your organization
File
Drop files here or
Comments

Charity Request Form

ERC, Incorporated is committed to enriching the quality of life in the communities where our employees live and work.

Organization Information

Program Information