Donation or Sponsorship Request
Applicant Information
Organization Name
Tax ID #
Primary Contact Information
First Name
Last Name
Email
Phone Number
Organization Address
Street Address
City
State Abbreviation
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Mailing Address (where check should be mailed if donation approval)
Is the Mailing Address the same as above?
Yes
No
Street Address
City
State Abbreviation
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Donation Questions
Donation or contribution requested:
$
What is the mission/purpose of the organization?
How would the donation be used?
How many persons would be served or benefitted (estimate)?
Describe the organization's budget or funding goal and support received from other sources:
Is the organization associated with any employee of FEC?
Yes
No
Which employee is associated and what is their role in the organization?
Supporting Documentation
Please upload any supporting documentation (flyers, sponsorships, information, etc.).
Drop file here
Accepted file types: doc, jpg, pdf. Max file size: 100 MB
Drop file here
Eligibility Confirmation
Acknowledgment
Yes, I confirm that the organization that is requesting funds is a not-for-profit organization served by Flathead Electric Cooperative. I understand that completing this form does not guarantee that our donation request will be granted.
No, (Selecting "no" will invalidate your application and you will not be granted funds.)
Salesforce Fields
Program ID
Record Type Name
FEC Form Owner Email
AP Email
Internal Use
Check Amount
$
GL Account
Please select...
Donation - 426.1 / 33
Education - 217.2
You must agree to the acknowledgment to continue to submit an application.