Apply For a Grant "*" indicates required fields Fill out the form below and we will be in touch! (* fields are required.)Please upload a one page cover letter*Accepted file types: doc, docx, pdf, Max. file size: 4 MB.Or include a link to a Google doc: Legal name of organization (name on IRS exemption letter)* Physical address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Is your mailing address different than your physical address? No Yes Mailing address (if different) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact Name* First Last Email* Phone*FaxOrganization's website* Amount of money requested for this grant* Total cost of the project* Using no more than three (3) sentences, describe how grant funds will be used*Project description - at a minimum address number of clients to be served by this grant and the community need met by the proposal*A timetable and/or work plan for the project*If your project/program will cost more than you are requesting from us, indicate how your will fund the balance. Show any in-kind support, other grants applied for and/or funds already received on your project budget*The organization's mission*The organization’s primary goals*The organization’s recent major accomplishments*List the staff leading the project and their qualifications*List the Board of Directors, their addresses and occupations*CommentsThis field is for validation purposes and should be left unchanged.