2019 Grant ApplicationApplication Deadline is December 31, 2019. Grants will be awarded February 15, 2020. Step 1 of 4 - 1. Organization Information25%Organization InformationName of Organization*Tax ID Number*Website URL*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Organization's Mission StatementOrganization's Purpose StatementPrimary Organization Contact (chief executive)Prefix Dr. Mr. Mrs. Ms. Name* First Last Job Title*Phone Number*Email* Should the person above receive all correspondence related to this grant request?* Yes NoGrant Contact (only for correspondence related to this request)Grant Contact Prefix Dr. Mr. Mrs. Ms. Grant Contact Name* First Last Job Title*Grant Contact Phone Number*Grant Contact Email* Grant Request InformationAmount Requested*Please enter a number from 0 to 5000.Please describe the purpose of grant and how the money will be used*Max Number of Words: 250Attach supporting documentationPlease attach supporting documentation (if available) for this request (e.g. IRS Tax Status, marketing materials, budget information, etc.). It would be most helpful for you to scan all documentation and send as one file. However, if you don't have the equipment or technology to do so, you may upload up to four additional files (below).File Drop files here or Select filesAccepted file types: pdf, Max. file size: 20 MB, Max. files: 5.
