Benevolence Fund Request Form Impact Benevolence Fund Benevolence Fund Request Form Benevolence Fund Request or Suggestion 1. Your Name * 2. Person or Organization for whom you are requesting funds * 3. Your Phone Number * 4. Amount Requesting * 5. For what? Please explain the need and how funds will be used. * 6. Who will receive the funds? (Preference given to direct service providers, we do not give out cash) * 7. When is funding needed? * 8. Who else have you asked for funding from? What is the status? 9. Enter Your Email Address: * Submit