Online Grant Application

Submission Deadline: November 30 of each year
Award Payout Date: 1st Quarter of each year

Application Date*
MM slash DD slash YYYY
Contact Person's Info
Contact Person's Name*
First Last
Contact's Email*
Contact's Phone*
Contact's Address*
Street Address City State ZIP Code
Organization's Info
Name of Organization*
Organization's Address*
Street Address City State / Province / Region ZIP / Postal Code
Organization's Phone (if applicable)
Organization's Email
Please List any Board Members / Officers of Organization & Their Titles
Officer's Name & Position
Officer's Name & Position
Officer's Name & Position
Officer's Name & Position
Officer's Name & Position
Officer's Name & Position
Is your 0rganization a non-profit?*
- Yes
- No
Please provide a copy of the IRS determination letter: FORM 501(c)3*
Max. file size: 64 MB.
What is the purpose of your organization?*
Grant Request
What is the requested dollar amount?*
How will the funds be used?*
What form of recognition will Community Bank receive for providing the donation?*
Phone
This field is for validation purposes and should be left unchanged.

Contact Person's Info