Charitable Contribution Request Form | Skowhegan Savings Bank

At Skowhegan Savings, we pride ourselves in being able to support our local communities and nonprofit organizations. To apply for funding, please complete this form in its entirety and submit with all supporting documentation, including poof of 501c3 status, to ssbdonations@skowhegansavings.com.

Eligible organizations may submit only one application per calendar year. Application deadlines are: February 28, May 30, August 30, and November 30.

Note that Skowhegan Savings’ Charitable Contributions Policy prohibits contributions to religious organizations, political candidates or campaigns, labor organizations, for profit organizations or single person beneficiaries.

Name of Organization Mailing Address Physical Address (if applicable) City State, Zip Year Established Phone Number Email Address Contact Person & Title Amount of Request Percentage of low to moderate income individuals benefitting from the program

Are you a customer of Skowhegan Savings?

Do you have a contact at Skowhegan Savings? If so, who?

Please include a list of your organization’s Board of Directors

Nature and Purpose of Organization

Please provide a brief description of your funding request including the region and amount of people served. Include the extent that the funding targets financial literacy, economic development and/or economically disadvantaged people.

Please indicate the total budget for project to be funded and the amount requested of Skowhegan Savings.

Please list promotional materials and/or media opportunities surrounding your program or event for which Skowhegan Savings would be named.