Amendments to Program Form
Program Name: Account #:
This form should be used to notify of and seek approval for any changes in your program's management or mission statement. Select the section that applies to your desired action.
I would like to remove an individual from the above program account
Name: Reason for Removal:
I would like to add an individual to the above program account with complete access as an Advisor
Address: Contact Number:
I would like to remove myself as Program Manager, and propose a replacement below:
New Program Manager Information:
Reason for Removal:
Signature of new Program Manager: May 30, 2023
***Please attach a copy of the United Charitable Legal Agreement signed by the new Program Manager***
I would like to change the program mission statement to (please attach separate sheet if necessary):
Reason for Changes:
I would like to change the program name to:
Reason for change:
Reason for closure:
*If applicable, please also attach a completed disbursement request form directing the remainder of program account balance to a charity.
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Amendments to Program Form
Agree & Sign