Grant Application Grant Application Name of Organization * Contact Person and Title * Address Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Email * Phone * Type of Organization * Non-Profit 501(c)3* Civic Religious Government Education OtherOther * If your organization is chosen, you will be required to show proof of non-profit status. Amount Requested * Total Cost of Project * Project Description * Describe the project for which the application is being made. Include specifically what the funds will be used for, what you plan to achieve and how you will measure the success of the project. Project Timeline Start Date Estimated Completion Date What other fundraising have you done for this project? * Are you willing to speak to our group about your project? * Yes No **Failure to present to our group may lessen your chances of receiving your requested funds. If you are human, leave this field blank. Submit For now, please contact us for information.
