Community Donations

Community Donations

Today's Date*

Requesters Name*

eMail*

Phone*

Organization's Name

Organization's Street Address*

Organization's City*

Organization's State*

Organization's Zip*

What amount of funding is being requested?*

For what purpose(s) would the donation be used?*

Tell us how this donation will make a difference in your community.

Is your community request aimed at addressing hunger or improving food security?*

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Please provide a general overview of services offered by the organization.*

How many individuals/households does the organization assist each year?*

What existing fundraising efforts are in place for the organization?*

Is there an event associated with this sponsorship/donation request?*

Select or enter value

Event Date*

Are there volunteer opportunities available at your organization?

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What volunteer opportunities are available at your organization?

Has Atlantic contributed in the past?*

Yes

Are you a 501c3 organization?*

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IRS EIN number

Supporting Documents

Please upload any supporting documents to accompany your request. If you are a 501c3 and have access to your certification, please upload a copy.

File Upload

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