Community Sponsorship Request
The Energy Cooperative supports community organizations, programs, events and teams, as part of our efforts to give back to our member communities. Please keep in mind that we do not support individual people/players or club teams.
Organization Information
If awarded, sponsorship checks are addressed and mailed to the organization listed below.
Organization Name
Mailing Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
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
Website
Organization Contact
First Name
Last Name
Email
Role within organization
Phone
Record Type ID
Record Type Name
Member Communities
Please indicate where your organization is located.
Ashland
Coshocton
Delaware
Fairfield
Franklin
Guernsey
Hocking
Holmes
Knox
Licking
Morgan
Morrow
Muskingum
Perry
Richland
Sponsorship Request
Amount Requested for Sponsorship
What are you requesting and why it is needed? Include details surrounding how the funds will impact your community and organization.
Are there additional levels of sponsorship? If so, please list them and upload the documentation below.
Signature/Title of Representative
Date
Supporting Documentation Checklist
Sponsorship Forms
Additional Documents
You can also email documentation to
nshort@theenergycoop.com
or mail to it to
The Energy Cooperative
Attention: Natasha Short
PO Box 4970
Newark, OH 43058-4970
Contact Information