Donation or Sponsorship Request

Donation or Sponsorship Request
Organization Name*
Organization Street Address*
City*
State*
Zip Code*
Organization Description*
Website*
"NA" if no website
Area(s) Served*
Non-Profit status

This organization is federally recognized as tax-exemptThis organization operates under the umbrella of a different federally recognized tax-exempt organization
What is the name of the umbrella organization?
Ex. School name, community events organization, service club, etc.
Applicant Information
Applicant Name*

First NameLast Name
Applicant or Organization Email*
Applicant or Organization Phone*
Request Information
Has UPPCO donated to your organization or event in the past?*

YesNoI don't know
Category for Support*

Arts & CultureCommunity DevelopmentEducationEnvironmentHealth & Human ServicesMy organization, initiative, or program doesn't fit these categories
Request Title*
Can use program, event, or initiative name
Event or Program Start Date

MonthDayYear
Date
Amount Requested*
Request Description*
Who will be served?*
How will contributors be recognized?*
Attachments

Attach any additional or supporting documents. Do not upload tax forms.
Cancelof
Additional information for consideration
Should be Empty:

Applicant Information