Organization information

Name of Organization(Required Field)

Website URL(Required Field)

Type of Organization(Required Field)

Non-profit
For profit

Phone(Required Field)

Employer ID(Required Field)

Address(Required Field)

Street Address Address Line 2 City State ZIP / Postal Code

Is the organization an Alerus client?(Required Field)

Yes
No

Is the individual submitting the request an Alerus client?(Required Field)

Yes
No

Does an Alerus employee serve on the organization's board or executive committee?(Required Field)

Yes
No

If an Alerus employee is a board member or executive committee member, provide their name below.

Does this request and/or organization also provide volunteer opportunities for Alerus employees?(Required Field)

Yes
No

If volunteer opportunities are available, please provide brief details, including number of employees needed, location, and dates/times.

Donation Information

Amount requested(Required Field)

Focus Area(s) Addressed(Required Field)

Community and economic development
Affordable housing
Financial literacy
Other/None

County or counties where beneficiaries are located(Required Field)

Other

Who are the beneficiaries of these funding request?(Required Field)

What percentage of beneficiaries are considered low to moderate income?(Required Field)

What is the approximate number of people likely to benefit from this funding?(Required Field)

Provide a brief summary of your request and how funding will be used(Required Field)

Contact Information

Name(Required Field)

First Last

Title

Phone(Required Field)

Email(Required Field)

Supporting documents and W9

Drop files here or

Max. file size: 2 MB.

If you have not received funding from Alerus previously, please upload a copy of your organization’s W9. You may also provide any supporting documents, such as flyers, annual reports, or marketing materials, as available.

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Funding Request

Organization information

Donation Information

Contact Information