Organization Name
Tax ID
Legal Name (if different than above)
Street Address
City
State
Zip
County
Phone
Annual Budget
Mission Statement
Website
First Name
Last Name
Suffix
Title
Office Phone
Extension
Cell Phone
Email
Project Name
Amount Requested
Describe your project/program and what needs it will address in your community.
Describe how these grant funds will be used in your project/program to fill this need
Who will benefit from this grant? Describe the under-resourced populations and/or communities of color who will be impacted. Please provide statistics/demographics to quantify who will be served by this grant.
Is this a new or an existing program? If it is an existing program, how will your funding request take the program to a higher level?
Describe the results that this grant will achieve. Please include qualitative outcomes (stories, narratives on communities impacted, etc.) and quantitative outcomes (measurements that indicate when the goals of the grant have been met. For example, the number of families fed, the number of children that will have access to after school care, etc.).
How long do you anticipate funding to last? Please provide a timetable for the project.
Do you have other sources of funding for this project?
This is a one-year funding opportunity. How will you sustain the project in the future?
Your organization’s operating budget (just total) for 2021 and 2020.
Program budget with narrative on how the money will be used (Supported file formats: Microsoft Word, Microsoft Excel, and PDF).
Other funding sources (a list of foundations, corporations or governmental agencies which funded the organization in the last fiscal year, including amounts contributed of $1,000 or more. Supported file formats: Microsoft Word, Microsoft Excel, and PDF).
Other Information you may want to include (Supported file formats: Microsoft Word, Microsoft Excel, and PDF).
Submit Grant Application