USANA Foundation Matching Grant Application
Please fill out this application with as much information as possible in order to assist with the grant set-up process.
Applicant first and last name: *
Applicant USANA associate ID: *
Applicant email address: *
Applicant phone number: *
Applicant Facebook ID (if applicable - please write N/A if you do not have a Facebook ID): *
Name of the organization for which you wish to fundraise: *
Name of your primary contact at this organization:
Phone number of primary contact at organization:
Email address of primary contact at organization:
Website of organization: *
Country of Impact: *
What is the percentage of overall income used on non-charitable activities (administration cost)? *Please note that an administration cost of over 10% may delay the approval process. *
Are you applying for a $500 grant, a $1000 grant, or a $2500 grant? (If this is your first fundraiser you will only be allowed to fundraise up to $1000 USD or your local currency equivalent) *
What type of food program will this grant help pay for? Please confirm with the organization before submitting this application. *
How many people will be impacted by this grant? *
How many meals will be distributed as a result of this grant? *
Applicant's electronic signature *
Date of application submission *
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