Community Grants

The Cooper Foundation was established to support non-profit organizations that provide Health, Education & Recreation in the communities that Midwest Bank serves.

To apply for a grant please complete the following application and submit by October 1st.
Grants will be awarded in mid-December.

Applicant Organization
Name of Organization*
Federal ID#*
Phone*
Address*
City*
State*
Zip Code*
Principle Purpose of Organization*
Contact Person
Name*
First Last
Phone*
Email*
City*
State*
Zip Code*
Grant Project or Program
Project Title*
Amount Requested*
Total Project/Program Cost*
Describe Main Purpose of Project/Program*
(Attach additional document if necessary)
Accepted file types: doc, docx, pdf, jpeg, jpg, png, ppt, pptx, Max. file size: 512 MB.
How many people will benefit from project/program?*
Length of project/program?*
Who will be responsible for project/program? (identify individuals)*
Itemized Budget for Amount Requested*
(List individual costs/and amounts. One per line and total those amounts)

For Example:

Item Cost
1. _____ _____
2. _____ _____
3. _____ _____
...

Total: _____
Other sources of project/program funds (list organizations & amount)*
Submitted by*
First Last
Title*
Marketing Photo Release*
I hereby grant permission to Midwest Bank to use or reproduce photographs and/or video images taken of me for the purpose of publication, promotion, advertising, in any manner or in any medium if I am selected or granted an award. I hereby release Midwest Bank for all claims and liability relating to said images or videos and I waive my right to any compensation.
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If you have any questions about the application process please contact you local Midwest Bank Branch.

Community Grants

Applicant Organization

Contact Person

Grant Project or Program