Board Directed Grant Application

Application Deadline: October 15, 2024

* - Required Fields

Organization Name

Contact Person

Phone

Address

One paragraph description of the organization. Include its purpose and a brief history.

Project Title

Grant Amount Requested

Total Project Cost

Describe proposed project (what, when, why, how and by whom)

Anticipated Population Reach

If your grant is in a collaboration with a local organization please list contact name, phone number and email address

Explain the community need to be served, the people who will benefit and ways to measure success.

Expenditures budget for carrying out the project.

Board of Directors List

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Recent Financial Report

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IRS 501(c)(3) Letter of Determination

Upload File

Thanks for submitting!