ORU Organization Application | Comanche Electric Cooperative

Organization Information

Name of Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Phone Number

Is organization a member of CECA?

Yes

If yes, account number:

Contact Information

Full Name

Contact Person's Number

Contact Person's Email

Funding Information

Donation amount requested:

If Operation Round-Up were only able to fund a portion of the amount requested, would the project be able to proceed?

Yes

State the purpose for the Organization/Agency request. Include specifics of how funds will be used:

List other sources of funding for use of grant request as described above:

Has your organization previously received funding from Operation Round-Up?

Yes

What was the amount received and how the funds were spent?

Community Benefits

What are the benefits to the community or area?

Number of people in the community who will benefit from this project?

Other revenue sources and/or demonstrated community support for the project:

What are your measurements for success for this project?

The information contained in this application is for the purpose of obtaining funding from Comanche Electric Cooperative Trust, Operation Round-Up, on behalf of the undersigned. Each undersigned understands that the information provided herein is used in deciding grant funding, and the undersigned grants and warrants that the information provided is true and complete and that the Comanche Electric Cooperative Trust may consider this statement as continuing to be true and correct until a written notice of a change is provided. The Comanche Electric Cooperative Trust is authorized to make all inquiries they deem necessary to verify the accuracy of the statements made herein.
I understand that signing above constitutes a legal signature confirming that I am the applicant listed on the application. I agree to allow CECA to use this organization’s name and photo in local and area publications to inform CECA membership of the activities of the Operation Round-Up Program.

Signature 1

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Signature 2

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