ccb logo dark

FDIC-Insured—Backed by the full faith and credit of the U.S. Government

ccb logo dark

FDIC-Insured—Backed by the full faith and credit of the U.S. Government

Home / 2023 Individual Employee Community Services/Activities

2024 Individual Employee Community Services/Activities

Please complete this form for all community services/activities that you individually participated in. 

  • If you participated in a Bank Event, this form should NOT be completed.  Your participation will be included in the Branch Offered Services and Bank Events form completed by the Branch Manager or the employee organizing the event. 
  • Please complete a separate form for each service/activity you participated in. 

If you have any questions while completing this form please contact Anna DiDomenico.

Employee Information

Service / Activity

Organization Information

If purpose/mission statement is not on website, type purpose/mission statement in box above and upload documentation supporting purpose/mission statement.
If the organization provides services that benefit low to moderate income individuals but it is not clear in the purpose/mission statement, please upload supporting documentation to evidence the benefit to low to moderate income individuals.

Important Notice

Lorem ipsum dolor sit amet, consectetur adsdfdsng elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.