JCTM Charitable Contribution R2H Request Form JCTM intends to use a “God/Country/Corps” focus for its Restore, Repay, and Heal (R2H) initiative as follows: God those charitable organizations that support people in crisis or need and their health and wellness (e.g., the Red Cross or the National Kidney Foundation) and animal welfare (e.g., the American Humane Society). While JCTM will consider supporting religiously affiliated organizations or programs, JCTM will generally not support specific religious denominations through our charitable contributions. Country those charitable organizations that support our nation’s environment, education of our people, our culture, our children, and our communities (e.g., the Sierra Club, NC Coastal Federation, National Park Foundation, Toys for Tots, and St. Jude Research Hospital for Children). Corps those charitable organizations that support veterans and our nation’s defense (e.g., Wounded Warriors, the Gary Sinise Foundation, and the National Military Intelligence Foundation). When you submit this form, the owner will see your name and email address.Date of RequestPlease provide as much information as you can about the organization you wish to donate to: * indicates a required fieldOrganization to receive donation *Point of Contact (if available)Organization Mailing AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweEmail AddressWebsiteRequesting Individual's Relationship to the Organization *EmployeeVolunteerPaid WorkerFund RaiserOtherOrganization Information Please make sure your request includes the following information (please see below): A general description of the organization, including its mission statementDocumentation stating the organization’s 501(c)(3) status, (if applicable.)What services are rendered by the organization? *How will this donation be used? *Amount of monetary donation requested *USDCharity Navigator RatingList the charity navigator rating on the right after searching https://www.charitynavigator.org/ for your chosen charity/organization. If the charity does not have a rating on charity navigator, list “not rated”.Rating1 – 100% or not ratedHow should the payment be made? *If a check is needed, to whom should the check be made payable (please verify with the organization)?By what date do you need the contribution? *By typing your name below, you are signing this form as the individual seeking this donationYour Name *Your JCTM.us Email *NotesUpon submission, the request will be reviewed by JCTM’s R2H panel. Additional information may be required from the R2H panel. Thank you for submitting a JCTM R2H request!SubmitPlease do not fill in this field.