Fiscal Agent Request Application
The Fayette County Family Resource Network (FRN) has a 501(c)3 status. Local organizations/programs who have similar goals as the FRN can request the FRN to be a fiscal agent. This can include grant funding or donations. 

The FRN does ask for a 10% administrative fee. This fee can waived if (1) the funder does not allow for funds to cover indirect costs, or (2) the FRN Board of Directors approves to waive the fee. 

If you have any questions about the application or the process, please contact Diane Callison at fayettefrn@gmail.com or 304-575-1428
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Organization Name *
Organization Contact (name, phone, email) *
Organization Mission *
Program Name *
Program Date(s)
Program Purpose *
Budget Amount *
Geographic Area Served *
Structure of Program (ie. paid staff, Board of Directors, etc.) *
Frequency of funds *
Reason for Fiscal Agent Request *
Other Information or Comments *
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