Crow Wing Power Community Trust - Operation Round-Up

Crow Wing Power Community Trust Operation Round-Up Application

Download and mail printable version or complete the on-line form below.

Printable Version

Name of Agency

Address

City/Town

State/Province

ZIP/Postal Code

Telephone Number

E-mail

Contact Person

Agency is

For Profit

Non-Profit

501(c)3

If non-profit, religious affiliation

Agency is a(n)

Individual

Group

Community

Agency history/purpose

Number of individuals, families or groups served annually.

Geographic area served by Agency.

Does Agency utilize volunteers?

Yes

Explain volunteer use.

Total amount needed for project.

Amount requested from Round Up Community Trust Fund.

When is funding Needed?

Describe project and how specifically funds will be used.

Other funding sources and their contributions to this project.

Attach a copy of financial statements for the previous year.

Upload requirements

Attach a copy of financial statements for the current year (approved).

Upload requirements

Attach a copy of proposed budget for next year.

Upload requirements

The information contained in this application is for the purpose of obtaining funding from the Crow Wing Power Community Trust on behalf of the undersigned. We understand that the information is confidential, for the Trustees review only. The information provided is true and complete.

Name of Person Submitting

signature

Sign above