Community Focus Fund Program Application

Date: 

Application for support

The Community Focus Fund is a community outreach program that provides financial support, employee volunteer hours, and used computers to local educational and nonprofit organizations. Focus areas include: affordable housing assistance, community, education, environment, safety & health, senior citizens, and youth.

Please read the guidelines and technical hints prior to filling out and submitting this application.

Please review the application before filling it out. You must provide all the required information at the time you submit this application. You cannot save it and return.

*Please note fields with asterisk (*) are required to submit this request

We accept volunteer and computer requests all year long.
Section 1: General Organization Information
Section 1 must be completed for all requests.
*Organization Name:
*Mailing Address:
*City
*Zip Code
*Phone Number
FAX Number
*Contact Person First Name:
*Contact Person Last Name:
*Contact Person Phone Number:
*Contact E-mail Address:
*Executive Director/CEO/Superintendent
First name:
*Executive Director/CEO/Superintendent
Last name:
*Phone number

*Executive Director/CEO/Superintendent
E-mail address:

*Federal tax number:
*Mission statement:
Section 2: Volunteer Assistance
If requesting volunteer assistance, Section 1 and Section 2 must be completed.
Yes, I am requesting volunteer assistance.
Project start date:
Project end date:
Start time of event AM PM
End time of event AM PM
Number of volunteers needed: (numbers only)
Project location (address):
Age requirement of volunteers: 8 and under welcome
12 and over welcome
16 and over welcome
18 and over welcome
Other

Detailed description of the volunteer project including location, tasks the volunteers will be doing, and skills the volunteers need:
Expected environmental/safety concerns (example: volunteers should wear work gloves or bring work boots):

Number of individuals directly impacted by project: (numbers only)

Comments regarding individuals directly impacted:
Is there insurance for project/activities and volunteers?    Yes     No
If yes, please explain:
Colorado Springs Utilities equipment requested for the project (Colorado Springs Utilities volunteers must operate all Colorado Springs Utilities equipment):
Section 3: Computers
If requesting computers, Section 1 and Section 3 must be completed.
Yes, I am requesting computers.
How will the computers be used?
Please state the type and quantity of each type of computer being requested:
Desktop        We are currently out of laptops and printers.

* I agree the information above is correct and the Executive Director/CEO/Superintendent of my organization has reviewed and supports the submission of this application.

*Authorized name:

*Title:

Your Executive Director will receive an e-mail confirmation of this request and you will receive a web page confirmation when you click the submit button.

Please print that page for your records.

We will notify the Exective Director with our decision.