Fundraiser Outcomes Report Form

Please adhere to the following procedure no later than five (5) business days after the event.

Applicant Information

First Name

Last Name

Phone Number

Department Name

Fundraiser Event Information

This fundraiser benefitted:

University Club or Organization

Community Partner or Cause

Name of University Club or Organization

Name of Community Partner or Cause

Duration of Fundraiser

(i.e. 2 hours, 1 day, 1 week, etc.)

Amount Raised During Fundraiser

Expenses Incurred During Fundraiser

Number of Members Involved in Fundraiser

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