Community Grant & Sponsorship Application

Please review the giving criteria and eligibility requirements before submitting an application. Please fully complete the application form.

Are you requesting? *

Organization Name *

Organization Address *

501-c-3 Status *

EIN/IRS Tax Number *

Contact Name *

Contact E-mail *

Phone Number *

Program Title & Brief Description (Include date & location for events) *

Donation Requested (Monetary, Event, Auction Item?) *

Website *

Attachments? *

For Grant Requests Only: Total progam budget & specific use of grant funds *

For Grant Requests Only: Population(s) served & expected benefit to participants *

For Grant Requests Only: Additional Outcomes & success measures *

Sorry, this form requires that you have JavaScript enabled.

Please enable JavaScript on your browser then reload the page.

#formbuilderv2 div, #formbuilderv2 form { display: none; } #jsrequired div { text-align: center; width: 80%; background-color: #f5f5f5; margin: 15px 0; padding: 15px; border: 5px solid #222; border-radius: 25px; }