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Bloomington CiviForm
Note: Fields marked with a * are required.
What type best describes your organization? *
Restaurant, retail, school, etc.
Organization Tax Classification *
Years in Operation *
Organization Mailing Address *
How many employees does your organization have? *
If your company operates beyond the City of Bloomington, this number should reflect the total number of employees across all locations, not just the number of employees in Bloomington.
Organization Website
If you do not have a website, please respond n/a.
Please describe your organization in a few sentences. What are your origins, purpose, mission, and/or goals? *
Have you previously received a grant from the City of Bloomington? *
Yes
No