MENU Home > About Us > Community Development > Donation Requests Text Size -1 1 Donation Requests In order to better understand the needs in our communities and how your organization serves them, we ask that this questionnaire be completed and returned. Date: / / Organization Information Name: Organization Phone: Organization Fax: Mailing Address Street: City: State: Zip Code: Physical Address (if different than mailing address) Street: City: State: Zip Code: Website Address: Contact Person Name: Title: Phone: Fax: Email: Organization's Services Mission Statement: Check any of the following that pertain to the services your organization provides. Affordable Housing Community Services Economic Development Revitalization or Stabilization of Designated Areas Neighborhood Stabilization Program (NSP) Briefly describe the services your organization offers: Does your organization offer financial literacy classes? Yes No Does your organization offer any type of homeownership classes, foreclosure prevention classes, or credit reporting informational classes? Yes No Please check all of the counties your organization serves. Dallas County Fort Bend County Hardin County Harris County Jasper County Jefferson County Montgomery County Newton County Orange County Tyler County Wharton County Other Counties Beneficiaries of Organization's Services Briefly describe the individuals benefiting from your organization’s services. Can anyone receive the benefits of your organization? Yes No Of the individuals benefiting from your organization’s services, are any considered to have a low-to-moderate income? Yes No Organization's Needs Does your organization currently have any financial needs (grants, mortgage, software, etc.)? If so, please briefly describe. Does your organization participate in any annual events that serve low-to-moderate income individuals? If so, please briefly describe. If there is any additional information not previously mentioned in this questionnaire that you would like to share about your organization, please describe below or attach any additional documentation with your response. Thank you for helping CommunityBank of Texas give back! Report Fraud Careers Privacy Sitemap NMLS# 423137 Equal Housing Lender Verified: Nov 30, 2021 © 2021 CommunityBank of Texas, N.A. | All rights reserved Website powered by ProfitStars® This bank is regulated by the Office of the Comptroller of the Currency. Consumer complaints may be filed here. To view PDF files, use Adobe Acrobat Reader available at https://get.adobe.com/reader/.