Operation Round Up Application

Operation Round Up® supports community-based organizations for charitable, educational, or emergency services purposes. Apply for Operation Round Up funds using the form below.

Step 1 of 2

Organization Details

Contact Name(Required)

First Last

Organization Name(Required)

If approved, check will be made payable to this organization.

Email(Required)

Phone(Required)

Address(Required)

Mailing Address City State ZIP Code

Federal Tax ID Number (EIN)(Required)

Don't have an EIN? Enter NA

Organization Purpose(Required)

Briefly describe your organization's purpose for someone who may not be familiar with it.

Request Details

Project(Required)

Briefly describe your program or project that requires funding. This is often used as the check's memo line.

Start Date Needed (mm/dd/yyyy)

End Date (mm/dd/yyyy)

Describe how your organization will use any funds received.(Required)

Please be specific. Include how your project meets the Foundation's guidelines of disbursing funds for charitable, educational or emergency services purposes.

Describe other sources of funding.(Required)

How is your organization funded? What other places have you applied to for funding of this program or project?

Supporting Materials

Examples: material or project quotes, itemized breakdown of how the funds will be used, project images, or any other items you may have.

Drop files here or

Max. file size: 300 MB, Max. files: 10.

Additional comments or notes

Funds Requested(Required)

Limited to $5,000 or less per year unless an exception is approved by the Foundation Board.

Check Needed By (mm/dd/yyyy)(Required)

Population Served(Required)

Enter the number of people served by your organization or project.

Area Served(Required)

Other Area Served

Is organization 501c3 exempt?(Required)

Yes

Is organization an educational institution or municipal entity?(Required)

Yes

Is organization affiliated with religious organization?(Required)

Yes

Final report provided by (mm/dd/yyyy)(Required)

A final report with photos, videos, receipts or statements showing the use of the funds is required. When will you provide this report?

I understand funds are not to be used for political activities or utility bills.(Required)

Yes

Applicant Electronic Signature(Required)

Name

This field is for validation purposes and should be left unchanged.

Operation Round Up Application

Organization Details

Request Details

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Main Office

Delivery Address

Office Hours

Phone Numbers