Jim B. & Lillian F. Cooper Foundation

Graduating Seniors

Cooper Foundation Scholarships

The Jim B. and Lillian F. Cooper Foundation has generously supported the communities of Midwest Bank by awarding grants to local non-profit organizations focused on health, education, and recreation.

Submit your grant application below before the October 1st deadline.

Community Grant Application

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.

Jim B. & Lillian F. Cooper Foundation

Graduating Seniors

Cooper Foundation Scholarships

Community Grant Application

Applicant Organization

Contact Person

Grant Project or Program