Coffee County TN Power of 100 -                         Non-Profit Application
*Applying Organizations must send a representative to speak at the meeting/be present on the zoom meeting for a max of 5 mins and a max of
4 minutes of audience questions.
*The proposed project or program must be implemented in and serve residents of Coffee County.
*All monies must be expended for the benefit of residents of Coffee County.
*A recipient organization can only receive money once each year.
*An organization can reapply each quarter, unless they have been awarded money in the same year.
*We will only accept 45 applications and they will be considered on a date-received basis.
Note: Applying organizations are encouraged to share the vision of the Power of 100 Women with supporters
and members; participation/membership in Coffee County Power of 100 Women is vital to the success and
longevity of the organization.
The form must be completed a minimum of 7 days prior to the quarterly meeting.
Sign in to Google to save your progress. Learn more
Email *
Legal Name of Organization *
Address of Organization *
Organization Phone Number *
Organization's (Speaking) Representative First Name/Last Name *
Phone Number *
Website *
EIN Number or 501c3 ID Number *
Specific Project Title/Information about what the donation would support if selected as a recipient *
Email a copy of 501c3 identifying paperwork to *
Name and Email of referring Member *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy