GRANT APPLICATION
ORGANIZATION PROFILE
Organization Name
*
EIN Number
*
Mailing Address
*
Street Address
Street Address Line 2
City
State
Zip Code
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Afghanistan
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American Samoa
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Montserrat
Morocco
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Nagorno-Karabakh
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Netherlands Antilles
New Caledonia
New Zealand
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Turkish Republic of Northern Cyprus
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Republic of the Congo
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Saint Barthelemy
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eSwatini
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Other
Country
Phone Number
*
-
Country Code
-
Area Code
Phone Number
Website
*
Year Established
*
Mission Statement
*
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ORGANIZATION’S CEO or EXECUTIVE DIRECTOR
Name
*
Prefix
First Name
Last Name
Title
*
Email
*
example@example.com
Office Phone
*
-
Area Code
Phone Number
Extension
Mobile Phone
*
-
Area Code
Phone Number
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BOARD CHAIR
Name
*
Prefix
First Name
Last Name
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REQUEST
Total Amount Requested
*
Annual Program Budget
*
Annual Operating Budget
*
Program Start Date
*
-
Month
-
Day
Year
Date
Program End Date
*
-
Month
-
Day
Year
Date
Population(s) Served
*
Type(s) of Support
*
What is the overall state of your organizational finances? How are you currently funded? What is your organization’s reserves position?
*
Tell us why we should fund your organization. How will the funds be used?
*
In what ways do you believe our organizations' strengths complement each other?
*
What is your vision for the partnership, and how do you envision it evolving over time?
*
What other organizations are providing support to your organization presently or over the last two years?
*
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PROGRAM DETAILS
Program Name
*
Education Funding Focus Area(s)
*
Statement of Need
*
Brief Program Description
*
How will you measure overall success?
*
Target Population Statement (Example: 200 at-risk high school students in Miami Dade County)
*
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REQUIRED DOCUMENTS
Upload program budget by line item, requested funds, and total budget
*
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Upload Program Curriculum
*
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Upload IRS Letter of Determination
*
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Upload photos/videos of past events
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