Roanoke Co+op's
Customer Donation Program

Roanoke Co+op
Roanoke Co+op exists so that our member-owners, customers, and the community benefit from:

a) Equitable economic relationships
b) Positive environmental impacts
c) Healthful foods and products
d) Inclusive, socially responsible practices
e) Educational resources

The CHANGE! Program
One of the ways we give back to our community is by facilitating donations from our customers at our registers to organizations that share our commitment to a healthy community and share our Co-op's Ends.

Our preferences are for nonprofits located in the communities served by Roanoke Co+op in Roanoke and Southwest Virginia.

At Roanoke Co+op's discretion, the recipient calendar may be preempted to raise emergency or disaster relief funds.

An Organization may be a CHANGE! recipient once per year.

How to Request to be a CHANGE! Recipient
Please fill out the application form. Any additional information about your organization that would help inform us of the nature of your organization and intended use of funds should be emailed to

Applications are currently being accepted year round. On November 1, 2019 a committee comprised of co-op staff members and board members will review the applications and announce the 2019 CHANGE! recipients for the "round up" program. That announcement will be made by December 15, 2019.

Name of Organization
Your answer
Contact Person
Your answer
Phone Number
Your answer
Your answer
Mailing Address
Your answer
City, State, ZIP CODE
Your answer
Your answer
Is this organization a nonproft? *
If "yes", please email certification to
Briefly describe the mission of your organization.
Your answer
What are you going to do with the money raised? We like to know that you have something specific in mind for the fundraiser!
Your answer
Is this program time sensitive? (Please describe.)
Your answer
Do you have materials about your organization (fliers, brochures, etc.) for distribution?
Your answer
Are you able to commit to in-store tabling to promote your organization? Would you be willing to talk to our staff about your organization prior to the fundraiser?
Your answer
Are you willing to report back in document form within a year’s time a description of exactly what the funds went toward, so that Roanoke Co+op's staff, owners and customers will be proud of their contributions, and thus will continue to support the CHANGE! program in the future?
Your answer
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