Round Up For Change Application

Round up for change community partner appliation

Round Up for Change applications are accepted and reviewed year-round by our Community Impact team. After submitting, you’ll receive a confirmation email, and we’ll follow up with a status update after each review cycle.

Due to the high volume of applications, we prioritize organizations that closely align with our mission while ensuring our shoppers have a diverse range of causes to support. While we can't select every application, we truly appreciate the incredible work you’re doing in our communities. We look forward to reviewing your application!

Name of Organization(Required)

Your Name(Required)

First Last

Email(Required)

Alternate Contact(Required)

First Last

Alternate Contact Email(Required)

What is your mission and why do you feel La Montanita and our community are a good fit for this program?(Required)

Please share your organization's program(s) and/or service(s).(Required)

What counties in the state of New Mexico do you serve?(Required)

If selected, how do you plan on using donated funds?(Required)

These funds are unrestricted to allow your organization the flexibility to use money as needed. The details you provide above gives us the ability to better promote your mission and needs to our community.

Does this Organization receive National Funding?(Required)

Yes

Receiving national funding DOES NOT disqualify your application.

Website

Facebook (Optional)

Instagram (Optional)

Organization Logo(Required)

Accepted file types: pdf, jpg, png, Max. file size: 12 MB.

Promotional Photos

Accepted file types: pdf, jpg, png, Max. file size: 12 MB.

501(c)(3) Determination Letter(Required)

Accepted file types: pdf, jpg, png, Max. file size: 12 MB.