If you would like Community Benefit Tree's assistance you MUST complete the following paperwork.

Step 1

Recipient Application

First you will need the recipient or family member to fill in the following form CBTRecipientApplicationrevised1710.pdf.  Whether you are doing a Celebration of Support event or setting up a fund. Please make sure it is completely filled out or it will be returned.  

 -and-

Step 2

If you are wanting help with a C.O.S. event fill in the following form:

Celebration of Support Committee Agreement

We will also need the committee member who we call the "Head of the C.O.S." someone who will be in charge of the event to fill in the following agreement form CBTBenefitAgreementrevised1710.pdf Again make sure it is completely filled out or it will be returned.

                            -or-

If you are wanting to set up a C.O.S. fund  fill in the following form:

STEP 2

C.elebration O.f S.upport Fund Agreement

If you are not planning a Celebration of Support but are wanting to start a fund for your recipient, you will need to complete this agreement form COSAgreementrevised1710.pdf. Make sure everything is filled out completely.

NOTE: Do NOT fill out both forms for Step 2. Either you are having a C.O.S. event or you are not able to have a C.O.S. event and would like to set up a fund instead.

Please make sure you read everything carefully and if you have any questions please feel free to call at (920) 422-1919 or email Heidi at heidifrederickson@communitybenefittree.org.

 

Set Up Appointment: If you would like to set up an appointment to get more information or to answer any questions you might have before you fill out the application or agreement just call or email Heidi to setup that appointment.We will be happy to meet with you, the recipient and the committee.

By filling in the following application and agreement you are ensuring us that your recipient is someone who is real and has a real need and the agreement lets us know that the committee wants our help and is willing to follow the rules and regulations of the Community Benefit Tree.  After filling out the forms, you can email them to heidifrederickson@communitybenefittree.org , fax it to (920) 766-4387 or mail it to Community Benefit Tree, W3494 Dundas Rd, Kaukauna,WI 54110 making sure you have ALL the forms and letters submitted together. 

Process: After having received the agreement,application and the two referral letters, the Board will look it over for approval. This will take 5 to 7 days.  Once approved, we will be in contact with you to start assisting with your benefit.  Any questions can be directed to Heidi at the above email or phone number.