Western Illinois University Department of Intercollegiate Athletics Prior Approval- Donation Request
The information obtained through this questionnaire is for the sole use of the Western Illinois University Department of Intercollegiate Athletics, and will not be released to any third parties.

Western Illinois University Athletics will only process donation requests for: fund-raising for a charitable, educational (8th grade or below only), or a non-for-profit organization. Proceeds or actual item may NOT be provided to a high school, preparatory school or 2-year college for any reason. ALL proceeds from the resale or auction of this item must go directly to the charitable, educational (8th grade or below only), or non-for-profit organization.

Completion of this form does not guarantee that the WIU Department of Intercollegiate Athletics will fulfill the request.

Required Fields in Bold

Contact Name:
 
Contact Email:
 
Organization Title (if applicable) :
 
 
Delivery Address:
 
City, State, Zip Code
 
Phone:
 
What type of item(s) is being requested? (Be specific to the exact items you are looking for)
 
This organization is:
 
Charitable
Educational
Institutional
Non-Profit
Not an organization
Location of the event/activity:
 
Date of the event/activity:
 
How will the item requested be used (i.e. raffle, auction, etc.)?
 
If money is being raised, what will the money go towards?
 

NCAA Bylaw 13.15.1 prohibits all University faculty and staff members from participating in the following activities:

1. Donating memorabilia (e.g., jerseys, hats, T-shirts, autographed footballs or basketballs) to any organization/event/activity that involves/benefits high school aged students (9th grade-12th grade).

2. Participating in any event in which a donation will be provided to a high school, prep school or two year college.

3. Providing any financial contributions to a high school athletics program through participation in a fundraising event (e.g., paying greens fees to participate in a golf outing when any portion of the greens fees will go to benefit a high school athletic program).

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