Step 1 of 3 33% Organizational Details* Indicates field is required.Organization Name:(Required) Program Name:(Required) Website URL:(Required) Address:(Required) City(Required) Zip Code:(Required) Telephone:(Required) Fax Number: Contact Person/Title:(Required) Email(Required) Executive Director:(Required) Grant Amount Requested:(Required)Year Established:(Required) Tax ID Number: Program Description* Indicates field is required.The Board of Directors is informed of and supports this application.(Required) Yes No Provide a description of the organization's history and background. (100 word limit)(Required)Provide a description of the purpose of the grant. (50 word limit)(Required)Describe the target population to be served by this grant/program. (50 word limit)(Required)Describe the specifics of the program to be funded, identifying key personnel, budget explanation, measurable outcomes/goals. (500 word limit)(Required)Please describe how the organization will fund the program at the end of this grant. (100 word limit)(Required)Supporting Application Documents* Indicates field is required. Allowed files types: (Excel,PDF,Text,Word)Cover Letter from the Chair of the Board of Directors(Required)Max. file size: 8 MB.Mission Statement(Required)Max. file size: 8 MB.Proposed Program Budget(Required)Max. file size: 8 MB.Organizational Budget(Required)Max. file size: 8 MB.Audited Financial Statement (Form 990 may be substituted)(Required)Max. file size: 8 MB.Organizational Chart(Required)Max. file size: 8 MB.List of Board of Directors & Meeting Dates (one document)(Required)Max. file size: 8 MB.Key Personnel Descriptions(Required)Max. file size: 8 MB.IRS Exemption Letter(Required)Max. file size: 8 MB.Other Information Submit your application Review your information. If anything is incorrect, go back to update and save. {all_fields}
