Ohio Jaycee C & E Foundation GRANT APPLICATION FORM

PART A: DETAILS OF APPLICANT
Name of Individual/Organization*
The registered name of your Organisation/ Business
Name of contact person*

First NameLast Name
Phone*
The phone number/ email of contact person
Email
example@example.com

PART B: Grant Request
Type of Grant Request

Community ProjectDisaster ProjectDisaster AssistanceEducation / Training GrantScholarship Match
Grant Name*
Amount Requested (Max. $500)
Grant Request Overview*
Briefly describe the general purpose of the grant.
Grant Objectives*
List specific objectives for the grant request?
Grant Outcome*
Expected outcome of reason for grant request and how will you measure?
Provide an overview of the project/scholarship budget and other sponsors.
PROJECT BENEFICIARIES
Who will benefit from this grant?

PART C: DECLARATION
I DECLARE that the information on this Grant Form is correct and understand that if approved, we will conduct this project as outlined above.
Signature/ Stamp- DATE

Clear
Should be Empty:

Ohio Jaycees Charitable & Education Foundation