Request to Solicit Funds & Prospect Clearance Form

This form must be completed prior to soliciting any funds on behalf of Nipissing University.

Employee Information

First Name

Last Name

Department / Program

Telephone

Extension

Request to Solicit Funds

Description of Event/Initiative and dollar amount value being solicited

Prospect Clearance

Attach a prospective donor list (who you plan to solicit)

Approval

This has been approved by my manager / director

Manager / Director

Date of Approval