Impact Team Application

Impact Team Application

Applicant must be a policy-holding member of Catholic United Financial prior to application, which means he/she is the primary insured on a life insurance certificate, a spousal rider, or an annuitant. A minimum of one month’s lead time is required for all Impact Team applications. You must receive approval from Catholic United Financial prior to completing your project. Upon approval of your project, you will receive a $150 Impact Team funding card and five Impact Team T-shirts. Please have your team members’ names and shirt sizes available.

"*" indicates required fields

Project Information

MM slash DD slash YYYY
MM slash DD slash YYYY

Shipping Information

Who the Impact Team kit should be sent to.
Shipping address*

Team Leader Information

Name*
Are you under 18?*
I am a Catholic United Financial policy-holder member.*

Team Member #2

Name*
Is this team member under 18?*
Is this team member a Catholic United Financial policy-holding member?*

Team Member #3

Name*
Is this team member under 18?*
Is this team member a Catholic United Financial policy-holding member?*

Team Member #4

Name
Is this team member under 18?*
Is this team member a Catholic United Financial policy-holding member?*

Team Member #5

Name*
Is this team member under 18?*
Is this team member a Catholic United Financial policy-holding member?*