DONATE YOUR DIMES APPLICATION
ABOUT OUR GIVING PROGRAM
Whole Foods Market’s Giving Program is dedicated to helping registered nonprofit organizations in our stores’ local communities
that have limited budgets and big hearts. Our giving program supports organizations that address community issues, such as:
hunger relief, environmental concerns, organic and sustainable agriculture, animal welfare and health/social services. Our focus is
to support innovative groups that share in our Mission & Values, and strive to make the world a better place. Our Core Values
include sustainability, community support, healthy eating education and a commitment to local growers.
Typically, The Whole Foods Market Giving Program seeks out organizations with small budgets, low overhead and direct
community impact. Not all requests can be honored, and those that are not submitted at least 90 days in advance, that are
incomplete or that are to benefit individuals or for profit organizations will not be considered.
The Whole Foods Market Giving Program does not provide monetary funding for politically affiliated groups.
ABOUT THE DONATE YOUR DIMES PROGRAM
This program is designed to reduce our impact on the environment while supporting local nonprofit organizations! When
customers shop and bring their bags from home, they receive 10¢ per bag used, and can accept it as a discount on their bill, or can
donate it to one of our current organizations.
In general, we have up to 3 Donate your Dimes recipients available for customers to choose from. Most organizations are featured
for 3 months at a time, or one fiscal quarter at our store. At the completion of the 3-month term, Whole Foods Market issues a
check to each designated nonprofit group for the total amount raised.
This program is primarily designed to bring attention and exposure to small, but meaningful organizations in our local communities.
Through this program, selected organizations are provided with a platform for communicating their mission to our customers.
Organizations are welcome to work with the Marketing Team Leader to promote the program in our store, including bagging
groceries, reusable bag giveaway, etc.
Organizations are encouraged to spread the word via web, newsletter, social media and general outreach.
Applications are kept on file for one year, and organizations will be notified if they are selected for this program. The same
organizations can only be selected to participate in the Donate Your Dime Program once every two years.
To apply for our Donate Your Dimes Program, please complete the application in full.
Attach your organizations:
 501(c)(3) form
 Mission Statement
 A description of organizations outreach, memberships, contributors and partners
 List of current programs
Submission of a completed application is not an agreement to honor your request
Completed applications can be returned to:
Whole Foods Market, Greensboro Friendly
Jarrett Oliveri, Marketing Team Leader
3202 West Friendly Avenue
Greensboro, NC 27408
336-398-2880 FAX: 336-297-5046
[email protected]
DONATE YOUR DIMES APPLICATION
TODAY’S DATE:_____________________________________________________________________________________________
SECTION 1: ABOUT YOUR ORGANIZATION
ORGANIZATION NAME:_____________________________________________________________________________________
CHARITABLE NON-PROFIT 501(C)(3) CERTIFICATE # (ATTACH COPY OF CERTIFICATE):____________________________________
STREET ADDRESS:__________________________________________________________________________________________
CITY STATE ZIP:____________________________________________________________________________________________
CONTACT NAME:_______________________________________CONTACT TITLE:_______________________________________
PHONE NUMBER:__________________________________ FAX NUMBER:___________________________________________
EMAIL:___________________________________________________________________________________________________
WEBSITE:________________________________________________________________________________________________
FACEBOOK/TWITTER/SOCIAL MEDIA:__________________________________________________________________________
DATE ORGANIZATION WAS ESTABLISHED:______________________________________________________________________
PLEASE CHECK ONE CATEGORY THAT BEST DESCRIBES THE PRIMARY SERVICE YOUR ORGANIZATION PROVIDES:
❏ ENVIRONMENTAL
❏ SOCIAL SERVICES ❏ HEALTH & WELLNESS ❏ HUNGER ❏ ANIMAL WELFARE
❏ ORGANIC/SUSTAINABLE AGRICULTURE ❏ OTHER (SPECIFY)____________________________________________________
WHAT LOCAL AREAS DO YOU WORK IN:_________________________________________________________________________
WHERE IS YOUR SUPPORT BASE LOCATED:______________________________________________________________________
HOW MANY MEMBERS/SUPPORTERS DO YOU CURRENTLY HAVE:___________________________________________________
WHAT METHODS DO YOU USE TO REACH/COMMUNICATE WITH YOUR SUPPORTERS:___________________________________
________________________________________________________________________________________________________
SECTION 2: ABOUT YOUR BUDGET
WHERE DOES YOUR GROUP GET FUNDING? ____________________________________________________________________
ARE YOU PART OF A LARGER ORGANIZATION OR DOES YOUR GROUP RECEIVE FUNDS FROM LARGE CORPORATION?
❏ YES ❏ NO IF YES, WHO?________________________________________________________________________________
WHAT IS THE OVERALL ANNUAL BUDGET FOR YOUR ORGANIZATION? _______________________________________________
SECTION 3: ABOUT YOUR REQUEST
IS THERE AN EVENT OR PROGRAM THAT DONATE YOUR DIMES INCOME WILL DIRECTLY SUPPORT?________________________
_________________________________________________________________________________________________________
HAVE YOU SUBMITTED THIS REQUEST TO ANY OTHER WHOLE FOODS MARKET STORE?
❏ YES
❏ NO
IF YES, WHICH STORE(S)?____________________________________________________________________________________
HAS YOUR GROUP EVER RECEIVED SUPPORT OR FUNDS FROM ANY WHOLE FOODS MARKET STORE?
❏ YES
❏ NO
IF YES, WHEN? __________________________________________________AMOUNT? _________________________________
FROM WHICH STORE(S)? ____________________________________________________________________________________
WHY DO YOU WANT TO PARTNER WITH WHOLE FOODS MARKET FOR THIS EVENT?______________________________________
_________________________________________________________________________________________________________
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IS THERE A SPECIFIC TIME OF THE YEAR IN WHICH THIS PROGRAM WOULD WORK BEST FOR YOU?__________________________
TELL US HOW YOU WOULD PROMOTE THIS PROGRAM TO THE COMMUNITY AND YOUR SUPPORTERS: _______________________
__________________________________________________________________________________________________________
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LIST SOME POTENTIAL CROSS-PROMOTIONAL IDEAS THAT INVOLVE YOUR ORGANIZATION AND WHOLE FOODS MARKET:
THESE CAN BE IDEAS SUCH AS: * ACTIVITIES FOR TEAM MEMBERS * CUSTOMER INVOLVEMENT/CLASSES *VOLUNTEER PRESENCE
* EDUCATION IN OUR STORE * PRE-PROMOTIONAL EVENTS OR TIE IN * GIVEAWAYS
* BLOG/WEB/MEDIA *COMMUNITY OUTREACH ETC.
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THANK YOU FOR SUBMITTING YOUR REQUEST TO WHOLE FOODS MARKET!