Rock Island Community Foundation Funding Request Form
This online form allows you to upload files with a Google account (if you have an email address, you have a Google account). If you do not have a Google account and do not wish to make one, you will still need to submit the necessary documents.

If you cannot upload documents through this form, please attach your files to an email that includes your organization name and "RICF Funding Request" in the subject, and send files to

We will not accept files via email unless the online form has been completed in full.

As always, you may submit your application, including all related files & documents, via mail by printing the request form and mailing to:

Rock Island Community Foundation
1800 3rd Avenue, Suite 302
Rock Island, IL 61204-3331

Email address *
IRS Determination Letter:
Include a copy of your IRS determination letter as a 501c3 tax-exempt organization.
Organization Name: *
Name of your organization as it appears with the IRS.
Amount Requested: *
Amount of funds being requested.
Project Description: *
Give a brief yet concise description of the project including the specific use of the funds requested.
Budget Breakdown: *
Give a budget breakdown of the project for which you have requested funds. (attach if necessary)
Attached Budget Breakdown:
Geographic Area to Benefit: *
List the geographic area that will benefit from the requested funds.
Description of Organization: *
Give a brief description of your organization including a brief history and your organization’s purpose and objectives (mission statement).
Major Funding Sources: *
List your organization’s funding sources.
Board of Directors: *
List the individuals on your Board of Directors.
Contact Person: *
Name of the contact person for this request.
Contact Address: *
Address of your organization.
Contact Telephone: *
Telephone number where your contact person may be reached.
Leadership Signature: *
By submitting this form, you agree that this electronic signature is the legal equivalent of a manual signature. All leadership signatures deemed necessary by your organization must be submitted.
Additional Files:
These files are entirely optional. Please limit any additional attachments to a total of 2 pages.
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