Charitable Giving Application

Call 911 and NorthWestern if you smell gas or see an electrical hazard

If you smell gas or there is an electrical hazard that is causing an unsafe environment please ensure you retreat to a safe and secure area and dial 911 and one of the following NorthWestern Energy emergency numbers:

Montana: 888-467-2669
South Dakota: 800-245-6977
Nebraska: 800-245-6977

NorthWestern Energy wants to make the communities we serve better places to live, work and prosper. That's why we're proud to donate to a wide range of worthy causes. We encourage qualified nonprofit organizations that operate within our service territory to apply for donations through the application below.

For more information on grant guidelines and qualifications, visit our Charitable Programs page.

Note: To ensure the form is submitted successfully, please fill in ALL required fields. Special characters are not permitted in some of the form fields. ( ) * % & " / # @ + = $ ~ ^ etc.

General Information

Organization Name

Contact Person

Please enter either the Organization's mailing address or its PO Box number

Address

PO Box

City

State

Zip

Phone Number

E-mail

Project Information

Project Name

Federal Tax ID

Category (pick one)

Region (auto selected based on City and State in General Info)

Describe the Program or Project for which funds are requested

Describe the goals and expected timeline to meet the anticipated outcomes for the project

Please forecast the number of beneficiaries served by the project

Specifiy how the funds will be spent

State the need for the Project/Program

Total Project/Program budget

Amount secured from other sources

Amount requested

Additional Information

Describe past support received from NorthWestern Corporation, or other subsidiary

List other sources from which substantial funds are being sought or have been received

Confirmation/Signature

I certify that the tax-exempt nonprofit organization (under the terms listed in Section 170(c)2 and 501(c)(3) of the US Internal Revenue Code) here listed submitted this grant with full support of the organization’s executive director.

Please include your organization's Internal Revenue Service 170(c)2 or 501(c)3 letter with the application

Signed by

Title

Date

For Business

Helping Create a Bright Future

Call 911 and NorthWestern if you smell gas or see an electrical hazard

General Information

Project Information

Additional Information

Confirmation/Signature