Donation Request

If you are interested in receiving funding from the NEW Cooperative Foundation, download and fill out the PDF or use the form below to submit your request. Please be as thorough as possible. You may include any additional information or materials pertaining to how the requested funding will be used. Completing this form does not guarantee funding.

Allow at least 4 weeks for approval of funding.

Organization*
Date
MM slash DD slash YYYY
Address*
Street Address City State ZIP Code
Website Address
Geographic Area Served
Amount requested from NEW Cooperative Foundation*
Is the organization a:
- 501(c)(3) Charity
- City government
- School
- Other
If other, please explain
Tax ID/EIN number*
Contact Person*
Title
Contact Email
Contact Phone*
Describe the mission of your organization:*
Explain the project/purpose of the requested funds:*
Explain the benefit or the end result of the donation request:*
Total cost of project/fundraising goal
Anticipated Completion/Event Date
MM slash DD slash YYYY
Explain your fundraising efforts: Include grants applied for and/or received
Will donors be recognized? If so, how?
Is there a deadline for funds?
- No
- Yes
If yes, when?
Supporting Document 1 (.docx, .pdf, .odf)
Max. file size: 16 MB.
Supporting Document 2 (.docx, .pdf, .odf)
Max. file size: 16 MB.
Supporting Document 3 (.docx, .pdf, .odf)
Max. file size: 16 MB.

Donation Request

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