2025 Grant Application

Name / Applying

Name of Organization

Organization Mission Statement

First Name

Last Name

Role

Email address

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Website / URL

Amount Requested

Reason for Applying

Please include a description of the project and ways it will serve the community.

Name of Project

Project begin date

Project end date

990s Upload

Drag & Drop Files, Choose Files to Upload You can upload up to 3 files.

The two most recent filed 990s

I Certify, to the best of my knowledge, that:

The tax-exempt status of this Organization is still in effect
This Organization does not support or engage in any terrorist activity, and
If a grant is awarded to this Organization, the proceeds of that grant will not be distributed to or used to benefit any organization or individual supporting or engaged in terrorism, or used for any other unlawful purpose.