Donation Request

Step 1: Enter Email

Email Address

Step 2: Donation Request

If you are interested in receiving funding from the NEW Cooperative Foundation, download and fill out the PDF or use the form below to submit your request. Please be as thorough as possible. You may include any additional information or materials pertaining to how the requested funding will be used. Completing this form does not guarantee funding.

Allow at least 4 weeks for approval of funding.

Organization *

Date

Address *

City

State

ZIP Code

Website Address

Geographic Area Served

Amount requested from NEW Cooperative Foundation *

Is the organization a:

501(c)(3) Charity City government School Other

Tax ID / EIN number *

Contact Person *

Title

Contact Email

Contact Phone *

Describe the mission of your organization: *

Explain the project/purpose of the requested funds: *

Explain the benefit or the end result of the donation request: *

Total cost of project/fundraising goal

Anticipated Completion/Event Date

Explain your fundraising efforts: Include grants applied for and/or received

Will donors be recognized? If so, how?

Is there a deadline for funds?

No Yes

If yes, when?

Supporting Document 1 (.docx, .pdf, .odf) Max. file size: 16 MB.

Supporting Document 2 (.docx, .pdf, .odf) Max. file size: 16 MB.

Supporting Document 3 (.docx, .pdf, .odf) Max. file size: 16 MB.