2019 Grant Application
Please note that if the Foundation selects your project to receive a grant, you will acknowledge and permit the grant application, project description, project-related materials, and contact information to be made available to the public by the Foundation.
Name of Organizaton *
Street Address *
First Name *
Last Name *
Email Address *
City *
State *
Zip Code *
Contact Telephone Number *
Organization Information
What type of Organization are you representing? *
Organizational Overview: What is your organization’s mission? *
Provide a brief overview of your ongoing programs.
Organizational Structure: Briefly describe how your organization operates. *
What are the responsibilities of board, staff, and/or volunteers? If a membership organization, define the criteria for membership.
Section 1:
If you are seeking general operating funds, please provide the following information (if seeking funds for a specific project, please skip to Section 2):
1. How will these funds be used in the following 12 months?
Please provide in 3‐4 sentences a summary of your project. We appreciate your efforts to be concise.
2. Objectives, goals, and results.
What are the measurable objectives and goals for use of these funds? How will you document your project and share results? (3-5 sentences)
Section 2:
If you are seeking funds for a specific project, please provide the following information.
1. Project Title
2. The Idea.
Please provide in 3-4 sentences a summary of your project.
3) Who benefits, and how?
Who will benefit from this project? What are the challenges, issues, needs or opportunities that your project will address? (3-5 sentences)
4) Will you partner or involve other partners for this project.
If so, who and how will they be incorporated?
5. Objectives, goals, and results.
What are the measurable objectives and goals for use of these funds? How will you document your project and share results? (3-5 sentences)
6. What is the time frame in which your project will take place?
Clear selection
7. Are there any other details you would like to share regarding this project or your organization?
Terms and Conditions *
You agree that the information provided in this grant application is true and correct, that you will use the grant proceeds in accordance with your proposal as set forth in this grant application. If you do not use the grant proceeds in accordance with the terms of the grant, you agree to refund the grant proceeds. You are also agreeing that if you should receive funds, a year from the date of receiving them, you are required to report to the Foundation on use of funds.
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