Grant Request

Please note: Currently we are not accepting requests for individuals, schools or school activities, religious based or political gatherings.

    ** Please include as much information as possible.

    Today's Date:

    Organization Legal Name (no abbreviations):

    Organization Street Address, City, State, Zip:

    Organization Mission:

    Name of person submitting request:

    Contact Email:

    Organization Web Address:

    Enter the organization 501c3 #:

    Amount requested:

    Request Summary:

    • Program/Initiative Grant – enter Use of Funds and Outcomes Information
    • Other – enter Use of Funds and Outcomes Information

    Add summary information here:

    Due Date (Is there a due date):

    Marketing Materials Information

    Size and demographic information about your target audience:

    Other Corporate Partners:

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