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The Foundation welcomes applications from 501(c)(3) organizations whose mission and activities align with the priorities of the foundation. Applicants must complete the application below as well as attach all required materials.

Before completing this form, we recommend that you review the questions asked and be prepared to complete the form in one sitting. You may edit the form as needed before submitting; however, once you press submit you will not be able to return to the application.

Once you complete the questionnaire do not forget to submit the required attachments. Please attach the files to the bottom of this page under required attachments.

Applications are due October 1st; however, we review applications as they come in so the earlier the better. All applicants receiving funding will receive notification by December 1st.

* All fields are required including the attachments requested at the end of the application. Please limit all responses to 250 words or less.

Organization Name

Contact Name

First Name

Last Name

Contact Title

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Email Address

Organization is a 501(c)(3):

Yes

What is your Organization's Tax ID number?

Organization's history, overall goals, and objectives:

Description of current programs and activities:

Organization's mission:

Description of formal and informal relationships with other organizations:

Staff Composition (Number of those paid full time, paid part time, volunteers, others):

Amount of Grant Requested:

Summarize the purpose of your request:

Timeframe to use funds from:

YYYY

To:

YYYY

Organizational budget (last fiscal year) - Expenses:

Revenues:

This request is for a program:

Yes

Who are your top 10 funders and what is the amount they contributed during the last fiscal year?

Explain how you will measure the effectiveness of your activites:

Describe your criteria for success:

Describe the results you expect to have achieved by the end of the funding period:

If we decide to fund your organization, how would we be recognized?

How did you hear about us?

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CLICK SUBMIT FOR APPLICATION ABOVE FIRST AND THEN SUBMIT REQUIRED ATTACHMENTS BELOW.