Submit a Grant App

Name of Applicant*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Person to contact for additional information:
First Last
Members of applicant’s board of directors or management team:*
Mission statement of applicant:*
Amount of grant sought:*
Please list other sources of funding for your organization ( if you are not a 501( c ) (3) or ( c ) (4) your application cannot be considered):*
Attach any other documentation which may be of assistance to the Trustees in considering your application:
Max. file size: 2 MB.
Number of years your organization has been in operation:*