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-exempt
This 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 Name
Last Name
Applicant or Organization Email
*
Applicant or Organization Phone
*
Format: (000) 000-0000.
Request Information
Has UPPCO donated to your organization or event in the past?
*
Yes
No
I don't know
Category for Support
*
Arts & Culture
Community Development
Education
Environment
Health & Human Services
My organization, initiative, or program doesn't fit these categories
Request Title
*
Can use program, event, or initiative name
Event or Program Start Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Amount Requested
*
Request Description
*
Who will be served?
*
How will contributors be recognized?
*
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