Grant Nomination Form

"*" indicates required fields

Organization Name*

Contact Name*

Address*

City*

State*

Zip/Postal Code*

Phone*

Email*

Year Established*

Number of Employees*

Please explain how your organization would utilize this grant (may also attach separate document if needed)

Attach

Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 50 MB.

Please include the following supporting documentation for consideration.

Audited financial statements*

Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 50 MB.

3‐year strategic plan*

Accepted file types: jpeg, jpg, gif, png, pdf, Max. file size: 50 MB.

Comments

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