Volunteer Matching Gift Form Only Dick's grandchildren are eligible. First Name(Required) Last Name(Required) Your Email Address(Required) Donation InformationDate you Volunteered(Required) MM slash DD slash YYYY Use the calendar icon to choose the date of your volunteer donation.Name of Nonprofit Where you Volunteered(Required) Number of Hours You Volunteered(Required) Mailing Address for Nonprofit Where you Volunteered(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Description of Volunteer Experience(Required)Provide a brief description of your volunteer experience and/or any instructions for the match.I attest that all of the above information is accurate.(Required) I attest. By submitting this form, I am requesting that the RMSFF match the donation amount listed above.(Required) I am requesting a match. DisclaimerThe Richard M. Schulze Family Foundation (RMSFF) reserves the right to deny a request for matching funds at any time, for any reason. RMSFF will deny a request if: a) making a match would result in an appearance of impropriety; or b) if the participant would receive any inappropriate economic benefit; or c) if the matching funds would be directed to an organizatino whose mission and activities conflict with the funding guidelines of the Foundation. RMSFF reserves the right to amend, modify, suspend or terminate the Matching Gift Program at any time.