Fundraising Application

<form-template>
	<fields>
		<field type="header" subtype="h2" label="Organization Information" class="header"></field>
		<field type="date" required="true" label="Date:" class="form-control calendar" name="date-1539888053474"></field>
		<field type="text" subtype="text" required="true" label="Name of Organization:" class="form-control text-input" name="text-1539888067265"></field>
		<field type="textarea" required="true" label="Address:" class="form-control text-area" name="textarea-1539888075321"></field>
		<field type="text" subtype="text" required="true" label="Phone Number:" class="form-control text-input" name="text-1539888099352"></field>
		<field type="text" subtype="text" label="Fax Number:" class="form-control text-input" name="text-1539888102792"></field>
		<field type="header" subtype="h2" label="Contact Person" class="header"></field>
		<field type="text" subtype="text" required="true" label="Name of Contact Person:" class="form-control text-input" name="text-1539888128904"></field>
		<field type="text" subtype="text" required="true" label="Phone Number:" class="form-control text-input" name="text-1539888185322"></field>
		<field type="header" subtype="h2" label="Activity Details" class="header"></field>
		<field type="select" required="true" label="Type of Activity" class="form-control select" name="select-1539888214472">
			<option value="Financial Campaign (door to door)" selected="true">Financial Campaign (door to door)</option>
			<option value="Bottle Drive (door to door)">Bottle Drive (door to door)</option>
			<option value="Sale of Product (door to door)">Sale of Product (door to door)</option>
		</field>
		<field type="textarea" required="true" label="Description:" class="form-control text-area" name="textarea-1539888325937"></field>
		<field type="checkbox-group" required="true" label="Receipt to be issued?" class="checkbox-group" name="checkbox-group-1539888356401">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="text" subtype="text" label="Charitable Donation Number:" class="form-control text-input" name="text-1539888381409"></field>
		<field type="textarea" required="true" label="Dates and times of activity:" class="form-control text-area" name="textarea-1539888399303"></field>
		<field type="textarea" label="Person(s) canvassing door to door:" class="form-control text-area" name="textarea-1539888433377"></field>
		<field type="select" required="true" label="Does this activity involve children canvassing under the age of fifteen-15?" class="form-control select" name="select-1539888469600">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="textarea" label="If yes, list adult supervision accompanying these children:" class="form-control text-area" name="textarea-1539888510481"></field>
		<field type="paragraph" subtype="p" label="**NOTE: Identification for persons conducting fundraising. Each person shall have identification stating their own name, name of organization represented and contact name and phone number for verification.**" class="paragraph"></field>
		<field type="text" subtype="text" required="true" label="Authorized Electronic Signature:" class="form-control text-input" name="text-1539888631559"></field>
		<field type="paragraph" subtype="p" label="**Typing your Name and electronically sending this form to the Town of Woodstock constitutes your electronic signature.**" class="paragraph"></field>
		<field type="paragraph" subtype="p" label="Office Use Only Below:" class="paragraph"></field>
		<field type="paragraph" subtype="p" label="APPROVED ________________" class="paragraph"></field>
		<field type="paragraph" subtype="p" label="REJECTED _________________" class="paragraph"></field>
		<field type="paragraph" subtype="p" label="SIGNATURE: _______________________________________" class="paragraph"></field>
		<field type="paragraph" subtype="p" label="TITLE: ___________________________________" class="paragraph"></field>
		<field type="paragraph" subtype="p" label="DATE: ________________________________" class="paragraph"></field>
	</fields>
</form-template>

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