Online Grant Sponsorship Donation Request Application

INSTRUCTIONS: Please review the form below in advance for all the information that is required, and have that information ready to be entered. When you are ready to submit your application, fill in the form below, upload your Cover Letter, sign the form, and press the SUBMIT button to submit your form for processing. All fields marked as (*) are required.

Alternatively, you can download a pdf version of the form, fill it out and fax your completed form, along with a formal Cover Letter. Copies of this form are available on-line here: Download VI Lottery Sponsorship and Grant Application Form.

A formal Cover Letter on your organization's letterhead, addressed to Mr. Dennis Howell, Interim Executive Director, asking for a donation is required.

Please note that completion of this form does not guarantee that Virgin Islands Lottery will fulfill this request. Please allow 30 days from date of submission for a response. Read more about Sponsorship and Funding Requests.

Enter today's date

Please let us know the Name of the Organization.

Who is the contact person?

Please let us know your email address.

Enter the phone number

Enter fax number

Enter Mailing Address

Enter the physical address of the organization

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Enter Title of Event

Enter Location of Event

Enter event date

Provide a brief description of the program/activity/event

Enter the amount requested.

How will the VI Lottery Benefit from this Initiative?

Select Category(s) Funding Will be Used For (if Other is selected, provide details in the Itemized Budget field):

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Itemized Budget Summary - List each item along with its cost

PLEASE NOTE: if funding is approved, you will be requested to submit proof that monies were used for their approved purpose.

Have Your or Your Organization Received Funding From Virgin Islands Lottery Before

What Was the Amount Previously Requested $USD

If you have previously received funding from VIL, what was the Amount Received?

Cover Letter is required. It should be addressed to the Executive Director and be on your organization's letterhead to the attention DONATION REQUEST APPLICATION.

PLEASE NOTE:

A formal Cover Letter on your organization's letterhead, addressed to Juan Figueroa, Sr., Executive Director Designee, asking for a donation is required. Please upload that document here.

(Valid file types include: .pdf, .doc, .docx, .jpg, .bmp, .png)

Write your signature above by using your mouse like a pen as you drawing your signature in the space above

Write your signature in the box above by using your mouse and holding it down like a pen as if you were drawing your signature.

PLEASE NOTE: Recipients requesting funding over $2,500.00 may be required to submit their Social Security Number, Federal Tax ID Number, active business license and organization's 501(c)3 with a Certificate of Good Standing document. Also, If funding is approved, you will be requested to submit proof that monies were used for their approved purpose.

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