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Application for Charitable and Non-Profit Support

Applications for next year must be submitted by November 1st of this year.
Applications received after this date will not be eligible.
Initiatives approved for support will be notified by February 1st of next year.
Date
Date:
Organization
* Organization Name:
* Address:
* City, State, Zip:
* Contact Name:
* Contact Title:
* Phone Number:
• Email Address:
Requested Support
• Amount Requested:
* Type of support requested: Monetary
Advertisement or Promotion
Products and Services
Organization Background
Background information on the charity or non-profit organization, who it benefits, and the geographic area it serves:


Initiative Description
Description of the program or project, including the community need it fulfills:


Other Comments

Please tell us about any other reasons this initiative should be considered for support:


* Required Information