Homer Glen Junior Woman’s Club: Local Charity Funding Proposal
The Homer Glen Junior Woman's Club is a diverse group of women dedicated to enhancing our community through volunteering and charitable giving,

As part of our mission, HGJWC provides funding for local non-for-profit organizations. To be considered, we request that all interested organizations complete and submit this funding proposal no later than Monday, April 2, 2018.

To be funded, an organization must be a local non-profit organization that provides services which directly impact individuals in Homer Glen and surrounding area. HGJWC will not fund government agencies and typically will not fund organizations with a political or religious affiliation (except agencies that provide direct human services)

Email address *
Name of Organization *
Your answer
Contact Person *
Your answer
Organization's street address, city, zip code *
Your answer
Organization's telephone number *
Your answer
Organization's website, please use the format https://website.org/ or copy and paste the URL from the organization's homepage *
Your answer
Provide tax identification number for non-profit status as a 501(c)3 organization *
Your answer
When was the organization established? *
Your answer
Describe the services the organization provides *
Your answer
Describe the sources of funding the organization receives *
Your answer
Amount requested from HGJWC *
Your answer
Describe how the organization would use these funds *
Your answer
Is there a long term project or goal that the organization is seeking to fund? If so, please describe *
Your answer
How did you hear about HGJWC? *
If referred by a HGJWC Member, please indicate the member's name *
Your answer
If not selected to receive funding, would the organization be interested in having HGJWC coordinate a Service Project for your organization? *
If yes, please describe what service needs the organization may have *
Your answer
Please submit a Financial Statement that describes the current state of the organization. *
If the organization is selected to receive funds you agree to provide Homer Glen Junior Woman’s Club a report that documents the use of these funds no later than a year after the funds are received. *
By typing your name here, you are signing this funding proposal electronically, and your electronic signature is the legal equivalent of your manual signature. *
Signature *
Your answer
Today's date *
Please contact us with any questions.
Homer Glen Junior Woman’s Club
14007 S. Bell Rd, #259
Homer Glen, IL 60491
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms