Bloomington Cooperative Community Fund Application
Applications for the 2018 gift will be accepted from July 1, 2018 through August 31, 2018. The winning recipient will be announced at the 2018 Annual Meeting and will be expected to provide a report at the 2019 Annual Meeting.
Email address *
501(c)(3) Organization Name: *
Your answer
Address: *
Your answer
City, State, ZIP: *
Your answer
Website URL: *
Your answer
Tax ID#: *
Your answer
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): *
Your answer
2. How does your organization align with the mission of the Cooperative Community Fund? (found on the BCCF page of our website) *
Your answer
3. The Theme of this year's award is Environmental Sustainability. How would your organization use these funds to address environmental sustainability issues? *
Your answer
A copy of your responses will be emailed to the address you provided.
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