Community Support Form

Name of Organization

Contact Person

Address

City

State

ZIP

Telephone

Preferred Method of Contact:

Category of Request:

Mission of Organization

Specific program or event being funded

Description of program or event

Amount Requested

Is your organization any of the following?

Churches or organizations whose purpose is to promote a particular religious faith or creed
For-profit businesses, associations, or organizations
Sporting events or teams, including charity golf outings
Organizations whose missions, philosophy, or activities conflict with MVP policy