Donation Request Form

Thank you for filling out the Donation Request Form. Applications are typically reviewed the second Wednesday of every month and you may expect a response within a few business days after this review. Please submit requests at least six weeks prior to your event to allow for enough time for consideration and donation coordination. Note that responses are limited to 200 words.

"*" indicates required fields

Organization Name*

Contact Name*

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region

What type of donation are you requesting? (select one)*

Silent Auction Item (typically a $50 gift card and tote bag)

Food (such as fruit, snacks or light breakfast)

Sponsorship or Monetary Support

Required Criteria*

Our organization directly serves Duluth, MN and the Northern Minnesota/Wisconsin food system.

Our organization does not discriminate on the basis of age, ethnicity, gender, gender identity or expression, language differences, nationality or national origin, family or marital status, physical, mental and developmental abilities, race, religion or belief, sexual orientation, skin color, social or economic class, education, political affiliation, military service, or other characteristics that make a person unique.

Our organization is a 501(c)(3) or other designated nonprofit organization.

501c3 Number (9 digits)*

Which of the following priority areas does your organization or project most closely support?*

Nurturing the Denfeld and/or Hillside neighborhoods of Duluth, MN

Supporting the Northland’s resilient food system that provides food access to all

Cooperation Among Cooperatives

Briefly, please explain.*

Please share your organization’s mission statement.*

Tell us about your event or current fundraising effort.*

If the request is tied to an event (fundraiser, gala, silent auction, block party, etc.), how many people do you expect to attend? Where will it be held?

If this is a food request, please share what type of food you're looking for for your event, as well as any food restrictions.

If this is a monetary request, please share how much you’re requesting, along with your vision for how our organizations can partner to build a stronger community.

Is there anything else you wish to share?

Please share relevant links (such as information on fundraising support levels, event page, etc.)

Please share relevant attachments.

Max. file size: 512 MB.

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