Bloomington Cooperative Community Fund Application
Email address *
501(c)(3) Organization Name: *
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Address: *
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City, State, ZIP: *
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Website URL: *
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Tax ID#: *
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Contact Person/Liaison: *
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Phone: *
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Email address: *
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1. Mission Statement (or brief description of your organization's purpose): *
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2. How does your organization align with the mission of the Cooperative Community Fund? (found on the BCCF page of our website) *
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3. The Theme of this year's award is "creating and nurturing community". How would your organization use these funds to create and nurture community? *
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A copy of your responses will be emailed to the address you provided.
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