Donation Request Form

Our work and our people are intricately connected to our communities. We have always been a company that cares for the communities where we do business and where our farmer-owners and employees live, work and play. In 2019, we invested 4 percent of our profits into the places we call home, and we typically focus on three key areas to support: Agricultural Advocacy, Food Security, and Healthful Children.

This year, in the face of the COVID-19 global pandemic, we are increasing the scale of our support and expanding our focus. We recognize that nonprofit organizations are critical community supports that need aid now more than ever.

That’s why in 2020, we will expand our giving to nonprofits severely impacted by the COVID pandemic. We will increase our giving tenfold this year through financial donations and product donations. If your affected organization falls outside one of our three focus areas—Agricultural Advocacy, Food Security, and Healthful Children—we encourage you to still apply. We give high priority to partnerships that create positive, substantive change and attempt to resolve problems at their source. Our evaluation criteria include:

The strength of local support for the project.
The strength of the applicant organization.
How the project addresses a significant community need.

Upon submission, you will receive an automated reply to confirm we have received your request. Please allow up to six weeks for a response.

* Indicates required field

Organization Details

Name of Organization*

Address*

City*

State*

Zip*

Your request will be routed to the appropriate decision-makers based on your location. Please choose the location that best describes where your organization operates.

Location

Name of person submitting request*

Title

Phone number*

Email*

Website

Tax ID Number

Proof of Non-profit Status (e.g., 501(c) status)

(pdf, doc, and docx)

Tillamook County Creamery Association Sponsor

Please indicate which part of our mission your proposal addresses:

Mission*

What Type of Support Are You Seeking?*

How will this amount assist your organization in meeting the need you outlined above? (max 500 characters).*

Date Donation is Needed*

Describe what your organization does and the constituents you serve. If you have a mission, vision and/or purpose statement, please paste them here.

Describe how your organization will use the funding, if awarded. Examples may include funds for programs, events, equipment and/or supplies, etc.

Is your organization facing an unanticipated need as a result of the COVID-19 crisis?

Describe how you will measure the success of this project/program. How will this grant provide an impact on the community?*

Describe the organization's long-term stability and its ability to deliver the project/program for which you are requesting a donation.

Does your organization primarily serve disproportionately impacted communities including: communities of color, low-income, rural/geographically isolated, LGBTQ+, individuals with disabilities, refugees, immigrants, or other vulnerable or historically underserved populations?

If YES, please explain and include how your staff and leadership represent and/or involve those populations in your decision-making processes. If NO, please state that you serve the general population.

Please describe the part that our donation would play in the overall project/program scope i.e., it's 100% of the funding and critical, it's 1% of the funding along with many other contributors.*

Have you sought contributions from other organizations? If so, please specify if the request is: pending, planned, and $$ amount.*

Your Event or Activity

If funding is for a specific event, please answer the following questions:

Name of Event or Activity*

Date(s) of Event or Activity MM/DD/YY

Event or Activity Location*

Event or Activity Description*

Estimated Attendance (i.e. how many does this event serve)

How is the event/activity being promoted?*

How did you hear about TCCA’s Community Impact programs?

Optional: Attach Additional Materials

(pdf, doc, and docx)

If you have answered all questions above, this step is optional, however it may be useful to share graphics, tables or other materials that do not fit into our online submission form.