Community Fund Online Application

Note: Required fields are marked with an asterisk (*)

Contact Information

Organization/Payee *

Street/PO Box *

City *

State *

Zip *

Contact Person *

Email Address *

We will never sell or disclose your email address to anyone.

Telephone *

Alt. Telephone

Project Information

Amount of Request *

Maximum $500, numeric characters only.

When will funds be used?

How many will benefit?

Geographical Area *

Project Summary

Brief description of organization *

150 words or less

Very specifically, what will be purchased? *

20 words or less

Item(s) or services to be purchased and approximate cost. *

150 words or less

Description of how project or event benefits community *

150 words or less

By submitting this application, I certify the information provided is true and complete. I have also read and agree to the Community Fund Guidlines and understand all applications are subject to disqualification if guidelines are not followed.

Full Name *

Title

Midwest Energy is a customer-owned electric and natural gas
utility located in central and western Kansas.
We serve 48,000 electric and 42,000 natural gas customers.