In-Kind Donation Request Form

Donation Request Guidelines

All in-kind donation requests are coordinated through the Advancement Department and are subject to donation availability and community partners. While we work to support requests whenever possible, fulfillment cannot be guaranteed. If you have questions or need guidance before submitting a request, please contact Leydi Rodriguez, Director of Community Engagement.

In-Kind Donation Request

Requested By:

Name(Required)

First Last

Phone/Extension #(Required)

Title(Required)

Department(Required)

Supervisor Name(Required)

First Last

Date of Request(Required)

Date of Pick up(Required)

Client Information & Request

Client’s Initials(Required)

First and last

CV Program

Client’s Address(Required)

City ZIP / Postal Code

# Of People in Home (needed for bedding, linen, dinner/silverware requests) (Required)

# Of Beds In Home (needed for bedding, linen requests)(Required)

Items Requested: ( MUST provide bedding size, clothing size, shoe size, age and gender, if applicable)(Required)