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Foundation Grant Application - Step 1
Grant Application - Step 1 of 4
All information must be filled in. If it does not apply, enter a zero into the field
Date of Application Amount Requested
$
TYPE OF REQUEST
This request is for :


Program/Project Title:

ORGANIZATIONAL INFORMATION
Organization Name
Mailing Address City
State Country Zip
Telephone Fax Email
()   -
Executive Director Telephone
()   -
Name/Title of contact person Telephone
()   -
TYPE OF ORGANIZATION
Type of organization :
Enter if other (specify) is checked   
Is your organization tax exempt under 501c(3)
501 c(3) # Annual organization budget for current year
$
BUDGET
Annual Budget of specific program for which funds are requested
$
Percent of contributions dispersed:
Programs Education Fundraising
% % %
Management Expenses
%
Geographic Area


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Staff
Staff composition in numbers:
Professional Support
Paid Full-time
Paid Part-time
Volunteers
Interns
Other
Totals
Time frame in which the funds will be used:
From To
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