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Cooperative Community Fund Application
Thank you for your interest in our program. We look forward to reviewing your application.
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* Indicates required question
Organization Name:
*
Your answer
Address:
*
Your answer
Contact Person/Title:
*
Your answer
Phone:
*
Your answer
Email
*
Your answer
Website:
*
Your answer
Organization a 501(c)(3) nonprofit?
*
Yes
No
Required
Nonprofit tax ID # (if applicable):
Your answer
Is this a school?
Yes
No
Past Co-op funding?
Yes
No
Category that best describes organization (select one):
*
Choose
Civil Rights
Economic & Social Justice
Education/Arts
Environmental/Sustainability
Peace & Freedom of Expression
Emailed supporting materials to
marketing@coopportunity.com
(i.e. 501(c)(3) certification, organization brochure.)
*
Yes
No
Required
How will donated funds be used?
*
Your answer
Application completed by (Must be Exec. Director, Board Member or authorized agent):
Your answer
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