Southside Electric Cooperative Donation Request FormAt Southside Electric Cooperative, we are deeply committed to supporting initiatives that create a lasting impact in the communities we serve, guided by Cooperative Principle #7, Concern for Community. This principle drives us to focus our efforts on key areas, including: Youth Development and Education: Empowering young people through leadership opportunities and educational programs, ensuring they have the resources to achieve their full potential. Wellness Initiatives: Promoting healthy living for individuals of all ages in our communities. Frontline Workers and Military Support: Honoring and supporting those who serve and protect our communities. Fighting Poverty: Addressing the root causes of poverty to help individuals and families overcome economic hardships and build brighter futures. Priority is given to projects and initiatives that benefit the residents of the 18 counties within SEC’s service territory, ensuring our funding makes the greatest impact in the communities we serve. If your organization’s mission aligns with these values and goals, we encourage you to submit a request for consideration.Organization or Event Name(Required)How does this event line up with SEC's focus areas?(Required)To include date, time, location, who is hosting the event, estimate of number of attendees, etc.Which counties will be impacted by your request(Required) Amelia County Appomattox County Bedford County Buckingham County Brunswick County Campbell County Charlotte County Chesterfield County Cumberland County Dinwiddie County Lunenburg County Mecklenburg County Nottoway County Pittsylvania County Powhatan County Prince Edward County Prince George County Sussex County Select AllContact Name(Required) First Last Email(Required) Phone(Required)Organization or Event Website Tax IDMailing Address(Required) Street Address Address Line 2 City ZIP / Postal Code Amount RequestedIs SEC's Presence Requested at this event?What Marketing/Promotion Opportunities are available for SEC?What does SEC need to provide? Trucks, table, demonstration, etc.Please upload any supporting documents for your requestMax. file size: 100 MB. Date Donation Needed(Required)