Funding Request

Funding Request Form

Overall Mission Statement:

The Colerain Chamber Foundation, a 501c3 supported by the Colerain Chamber of Commerce seeks to support the Greater Colerain community by awarding funds to 501-c3 organizations that make the community a vibrant place to live, work, and play.

Goals for Philanthropic Support:

The Colerain Chamber Foundation supports the local community, investing in projects that the Foundation's Board of Directors considers to be in the best interests of the Chamber’s member non-profit organizations. Preference is given to supporting established non-profit organizations with specifically identified needs and objectives that will benefit the local community.

The Colerain Chamber Foundation does not provide support for: political groups (or anything ballot related), individuals, communities outside those where its members are based, and organizations whose programs discriminate based on race/ethnicity/color/gender/age, etc.

Please provide complete answers to ALL the following questions. Allow at least six weeks for a decision to be made.

Non-profit organization*
Tax ID number*
Completed W9*
Max. file size: 512 MB.
Most recent tax return
Max. file size: 512 MB.
Organization Point of Contact*
Point of Contact Job Title*
Phone*
Email*
Organization Address*
Street Address Address Line 2 City State ZIP Code
Organization description*
Services offered*
How does this project advance the mission of the Colerain Chamber?*
How will funds be used?*
Project budget and dollar amount requested.*
How is this project in the community’s best interest?*
Other Funding or Sponsorship?*
Colerain Chamber Member affiliate (if applicable)

Funding Request Form

Overall Mission Statement:

Goals for Philanthropic Support:

Funding Request

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