Applications and Reporting

 

The form below is for general non-profit submissions and inquiries.  It should not be used to apply for any of the above grant opportunities.

    Name (required):

    Organization Name:

    Email (required):

    Address:

    City:

    State:

    Zip:

    Are you a 501 (c)(3)?:
    YesNo
    Day Phone:

    Evening Phone:

    What is/are the purpose/s of your organization?*

    Do any other groups or organizations provide the same service as your organization? Explain.*:

    If awarded a grant, what specific items or programs would the grant support? Please be specific.*

    What geographic area do you serve?:**

    How many people do you serve?:*