Community Support Award Update Application

Community Support Award Update Application

This form is only used if a Grant Application was filed in February 2022. Application is due September 1, 2022.
The following questions pertain to the information submitted in your February Grant Applicaiton.
Organization Name
Has your organization recently moved?

Yes No
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Organization Contact

First Name Last Name
Title
Contact E-mail
example@example.com
Has your organization email changed?

Yes No
Organization E-mail
example@example.com
Has your organization phone number changed?

Yes No
Phone Number
Please enter a valid phone number.
Has the number of Board Members or those serving on your board changed?

Yes No
Number of Board Members
Board Member List

Cancel of
Has the number of full time employees, part time employees or volunteers changed since February?

Yes No
Please explain the changes in employees or volunteers
Has your Organization Mission changed?

Yes No
What is your organizations mission?
Have you added to or expanded any of your organizations programs?

Yes No
Please explain how your programs have changed.
Is there a specific program or need that funding from Second Chance would be used for?
Is there any additional information that you would like us to know about your organization?
The following questions pertain to the funding of the organization, to date, in 2022. How much funding have you received from(do not include funding from Second Chance with other totals): *
Revenue and Expense Statement,detailed, to date.

Cancel of
Current Balance Sheet

Cancel of
Should be Empty:

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