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Funding Request
Organization information
Name of Organization
(Required Field)
Website URL
(Required Field)
Type of Organization
(Required Field)
Non-profit
For profit
Phone
(Required Field)
Employer ID
(Required Field)
Address
(Required Field)
Street Address
Address Line 2
City
State
ZIP / Postal Code
Is the organization an Alerus client?
(Required Field)
Yes
No
Is the individual submitting the request an Alerus client?
(Required Field)
Yes
No
Does an Alerus employee serve on the organization's board or executive committee?
(Required Field)
Yes
No
If an Alerus employee is a board member or executive committee member, provide their name below.
Does this request and/or organization also provide volunteer opportunities for Alerus employees?
(Required Field)
Yes
No
If volunteer opportunities are available, please provide brief details, including number of employees needed, location, and dates/times.
Donation Information
Amount requested
(Required Field)
Focus Area(s) Addressed
(Required Field)
Community and economic development
Affordable housing
Financial literacy
Other/None
County or counties where beneficiaries are located
(Required Field)
Grand Forks County (North Dakota)
Polk County (Minnesota)
Cass County (North Dakota)
Clay County (Minnesota)
Anoka County (Minnesota)
Carver County (Minnesota)
Dakota County (Minnesota)
Hennepin County (Minnesota)
Ramsey County (Minnesota)
Scott County (Minnesota)
Washington County (Minnesota)
Maricopa County (Arizona)
Other
Other
Who are the beneficiaries of these funding request?
(Required Field)
What percentage of beneficiaries are considered low to moderate income?
(Required Field)
What is the approximate number of people likely to benefit from this funding?
(Required Field)
Provide a brief summary of your request and how funding will be used
(Required Field)
Contact Information
Name
(Required Field)
First
Last
Title
Phone
(Required Field)
Email
(Required Field)
Supporting documents and W9
Drop files here or
Select files
Max. file size: 2 MB.
If you have not received funding from Alerus previously, please upload a copy of your organization’s W9. You may also provide any supporting documents, such as flyers, annual reports, or marketing materials, as available.
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