Initial Grant Inquiry Form
Please fill out the following information and click submit when complete. Once received, you will receive an email receipt of submission. Please allow us up to six weeks to respond to your initial inquiry.
Email address *
Organization Name: *
501-C3 Organization US Federal Identification and Taxpayer ID Number : *
Organization Type and Mission (limited characters): *
Geographic Area Served: *
Population Age Served: *
Description of Services Organization Provides (limited characters): *
Summary of Need (limited characters): *
Summary of Project Proposal (If grant is for a specific project) (limited characters): *
Contact Name *
Contact Position *
Contact Email *
Contact Address *
Contact Phone number *
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