Grant Request

1. About This Grant Request/Application

Steps today:

1. Complete this form with the info requested to request a grant.

2. Once your request is received, we may ask for additional information using a Grant ID# we will send you, together with the link to our paperless webpage.

3. If your grant is approved, we will notify you.

Thank you!

Last Date To Apply (s/h - set by admin or blank): 12/31/2025

* Grant Title

* Grant Description

* Requested Amount (s/h, o/m = Proposal Amount)

Proposal Date ( s/h = Today's Date)

Review Date (s/h, read only - set by admin or blank)

2. Who is this grant for

Grantee or Applicant can be an ORG or a HOUSEHOLD, with one or two contacts.

2.1 Who is this grant for

Business/Organization

Person/Household

* Organization Name

* Type of Organization

Website

* Type of Phone

* Phone

Type of Email

Type of Address

* Country

* Address

Street Apt/Suite/Unit/Other

* City

*State/Province

* Zip/Postal Code

County

2.2 Primary Contact (Label editable)

Prefix

* First Name

Middle Name

* Last Name

* Gender

Date of Birth

Company / Division (Label editable, s/h, o/m)

Job Title (Label editable, s/h, o/m)

* Type of Email

* Email

* Type of Phone

* Phone

Same Address as Business/Organization

Type of Address

* Country

* Address

Street Apt/Suite/Unit/Other

* City

* State/Province

* Zip/Postal Code

County (Label editable, s/h, o/m)

Bio User Defined Fields (UDFs)

2.1 Bio UDFs (Share important information)

Add Contact (Person 2)

Outbound Grants User Defined Fields (UDFs)

Additional Grant Information Text

Grant UDFS

5. Notes regarding this grant request:

How did you hear about us (Label editable, s/h, o/m, default or blank to choose)

It is Ok to contact me by Email

It is Ok to contact me by Mail

It is Ok to contact me by Phone

It is Ok to contact me for future donations

Your request will be processed. Do you want to continue?

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Grant Request

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