Community Partners Application

Full Legal Organization Name*
Address*
Street Address Address Line 2 City State ZIP Code
Organization Website
Organization President/Director*
First Last
Title
Phone*
President/Director Email*
Contact Person (if different)
First Last
Title
Phone
Email
Organization Information
501 (c)(3)?*
- Yes
- No
Year Established*
Brief Description of Organization*
Proposal Request
Event/Program/Project Name*
Requested Amount*
What will the money pay for?*
Please note that requests that support individuals, tickets for contests, raffles with prizes, religious organizations, trips or tours for groups, political organizations/events, out of service area donations will not be considered.
Type of Request*
- Public Safety
- Sponsorship
- Program Support
- Water Bar
Geographical Service Area (within our service area)*
Number of People Impacted, Expected to Attend or Participate*
Please enter a number from 0 to 999999.
Date of Event/Time Frame of Project
Event Start Date*
Month
Day
Year
Event End Date*
Month
Day
Year
Most Recent Projects
Amount and Date 1
Amount and Date 2
Please check the Community Sponsorship Objectives this request supports:
- Significant projects or programs that have lasting, positive impacts in the area of environmental awareness, conservation, water education & STEM (science, technology, engineering & math) education
- Strengthen relationships with organizations and the community at large
- Provide visibility, positive public outreach and recognition for DU
- Provide an opportunity to educate local youth about water resources and the environment
Please describe how your project supports Daphne Utilities Community Partnership Objectives
CAPTCHA