2025 Emergency Response Equipment Grant Application

The mission of Compeer Financial’s Emergency Response Equipment Grant Program is to support rural communities in our 144 county service area by funding emergency response equipment for volunteer fire, rescue and ambulance departments.

If awarded, all funds must be used by the end of the current calendar year.
Cost must be detailed in the request. Requests may be partially funded.
Funds are not for deficits already incurred.
Funding is not provided for vehicle or building fundraising campaigns.
Law enforcement agencies are not eligible for this grant.

Review complete program criteria here.

Submission Deadline: 11:59PM August 31, 2025

Notes on using Jotform:

SAVE: Use the 'Save' button at the end of the application any time you need to save your progress and return later. The Jotform® platform will prompt you to either sign up with email, log in, or Skip Create an Account. If you do not have a Jotform® account or do not want to create one, choose Skip Create an Account. You will then be able to email yourself a link to access the saved application later. You may need to check your spam or junk folder for the email.

SUBMIT: After clicking 'Submit,' a Thank You page will appear confirming your application has been submitted. You will also receive an email with the completed application for your records. You may need to check your spam or junk folder for the email.

Name of Organization*

Is this the legal entity to receive grant funds, if awarded?*

YesNo

Enter Name of Legal Entity to receive grant funds*

Upload W9 for Legal Entity*

Browse Files

Mailing Address for Legal Entity

Street / PO Box*

City*

State*

Zip Code*

County*

See link above to view map of Compeer's service area.

Contact Name*

First NameLast Name

Contact Title*

Contact Phone Number*

Area CodePhone Number

Contact Email*

Type of Department*

Number of Active Members in Department*

Characterize Response Area (check all that apply)*

Primary Response Area in square miles*

Resident Population of Primary Response Area*

List Communities served within primary response area only*

Enter the percentage of the department's annual operating budget derived from each area:

Taxes

Billing

Grants

Donations

Fund drives

Other

Average Number of Runs Per Year*

Fire Response: Enter the percentage of the department's response for each type (in the past 12 months). Enter 0 if department is EMS response only. Total may equal more than 100%.

Farm*

Small Town / City*

Structure*

Vehicle*

Brush*

Other*

EMS Response: Enter the percentage of the department's responses for each type (in the past 12 months). Enter 0 if Fire response only. Total may equal more than 100%.

Farm*

Small Town / City*

Vehicle*

Other*

Total funds requested (maximum $4,000)*

Detail equipment needed and cost(s). Must include description of equipment, how many, individual and total estimated cost.*

0/100

Is the cost of the equipment greater than the requested grant amount?*

YesNo

Detail how the remaining costs will be funded.*

0/100

Explain how your department and community will benefit from this equipment.*

0/100

List grant funds received in the past three years over $2,000.*

List grants from all sources including other than Compeer Financial.0/100

How did you learn about this grant program? (Select one that is the best fit)*

Email from Compeer FinancialReferred by a Compeer Financial team memberNotice in Compeer Financial Publication – Cultivate Magazine, Flyer, Etc.Social Media post by Compeer Financial, including posts sharedReferred by Past Grant Recipient/ Community PartnerHeard on the Radio/Podcast or read in a publication (outside of Compeer)Internet SearchOther

Name of Team Member

Additional comments or information to support the request.

0/100

Optional Photo Submission

Photos help bring your story to life. Upload photos that showcase the impact of your organization in your community. (Examples include group photos, facilities or equipment in use, people/team members using equipment, schematic drawings, sketch, etc.) If you prefer, you can provide your Facebook or Instagram handle and give us permission to select photos from your public profile. The submitted photos are for promotional purposes only and will not be used during grant review. If selected as a recipient, the images may be used in grant promotional materials.

Click 'Browse Files' to upload photo(s).

Browse Files

Facebook and/or Instagram handle

For valuable consideration, the receipt and sufficiency of which is acknowledged, I grant Compeer Financial, ACA; Compeer Financial, FLCA; and Compeer Financial, PCA (collectively, “Compeer”), their directors, employees, agents, assigns, licensees, and representatives, the absolute and irrevocable right and permission to copyright, use, publish, republish, distribute and exhibit the submitted image in any form, that I have created and submitted to Compeer or uploaded to any social media platform or of me or in which I may appear, in conjunction with my name if they so choose, in all forms, advertising, and media and in any other manner for any lawful purpose, including but not limited to, for purposes of publication, commerce, and trade and in connection with or as part of Compeer’s trade name, or any goods, services, package, container, label, trademark, logo, trade dress, or advertising, promotional, marketing, or sales materials. Additionally, I waive any right to inspect or approve the finished product, or any materials or copy that may be used in connection with such photographs, video, digital images or sound recordings. By submitting or uploading an image, I represent and warrant to Compeer that content I submit is original content that does not violate any third party’s copyrights and that I have obtained permission from all identifiable people featured in the original content.

Click to Acknowledge