General Mills: Community Action Council Inquiry Submission Form

Community Action Council Submission Form

All Fields must be completed for submission

Organization Name

Organization Address (include city, state and zip)

Year Organization Founded

Organization Annual Revenue

Organization EIN or Other Exemptions Status
(type Unit of Government or Religous)

Primary Contact for this Request
Name:
Title:
Phone:
E-Mail:

Project Title and Brief Description of Project
(do not exceed 5-7 sentences)

Requested Amount

Number Served by the Request

Geographical Area Served by the Request (City, State)

Target Audience Served by the Request
(Ex. Children, Adults, Elderly, etc)

Select the General Mills CAC from drop down below