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REQUEST FOR LFCC ADVISOR

Contact Information:

Campaign Name:  ___________________________________________________

Primary Campaign Contact Name: ______________________________________
Federal Agency:  ____________________________________________________
Phone/e-mail:  ______________________________________________________
Work Address:  _____________________________________________________

Alternate Campaign Contact Name: _____________________________________
Federal Agency:  ____________________________________________________
Phone/e-mail:  ______________________________________________________
Work Address:  _____________________________________________________

CFC Related Position/Responsibilities (please describe relevant CFC experience, if any):

________________________________________________________________________
________________________________________________________________________
________________

Areas of Requested Assistance: (check as many as apply)

___ PCFO Selection Process
___ Charity Application Process
___ Community Outreach
___ Web-based CFC Brochures
___ USPS Campaigns
___ Other _______________

___ Campaign Mergers and Collaborations
___ LFCC Structure and Governance
___ Financial Accountability
___ Ethics
___ Military Campaigns

Additional Information About Your Needs:

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________

Thank You for Joining our Network of CFC Advisors!

Please return this form by fax: 202-606-5056
or e-mail to: cfc@opm.gov