Grant requests

Grant Request Process for Charitable Giving and Educational Sponsorship

Please complete the grant request form below and submit it with the supporting documentation listed below. Submissions must be complete to be considered.

Please be advised that the review process may take up to four weeks once a completed grant request packet is received. If your grant request is approved, you will receive a letter informing you of our level of support, together with any other pertinent information.

Grant Request Form 

Please be sure to complete all fields marked with an asterisk*: 

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Point of Contact:
 

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The following supporting documentation must be submitted with the grant request form:

For charitable donation Requests

  • 501(c)(3) Designation Letter
  • Statement of Charitable Mission
  • Description of Fund-Raising Activity and Levels of Sponsorship
  • IRS Form W9

For educational sponsorship requests

  • Overview and agenda of educational program
  • Certificate of CME Accreditation and Letter of Agreement under ACCME Guidelines, if applicable
  • IRS Form W9

Accepted file types (pdf,doc,docx,ppt)

 
 
 
 
 


If the required supporting documentation does not accompany this form, your request will not be considered. The review process may take up to four weeks once the completed grant request packet is received. We cannot guarantee approval of your request.
 

   


Documentation may also be:

Faxed to:
(610) 997-5510
CAPS
Attention: Compliance

Mailed to:
CAPS
c/o B. Braun Medical Inc.
Attention: Compliance
824 Twelfth Avenue
Bethlehem, PA 18018