Beaty Martinez Grant Application

Beaty Martinez Foundation Grant Application
Date of Application*

MonthDayYear
Full Legal Organization Name*
Type of Organization - Please select*

Non-Profit OrganizationSchoolGovernmental UnitChurch or Faith-Based Organization
Tax ID (*FEIN or EIN) Number*
(Note: All organizations must have a 501(c)(3) status or be otherwise tax exempt in order to be considered for support. If you are a school group that does not have 501(c)(3) status, please enter your district's EIN number.)
Upload Organization's 501(c)(3) Determination Letter*

If you are a school group that has not achieved 501(c)3 status, please upload your district’s W9 form and a letter on school district letterhead, signed by a school district official, stating that the school in question falls under the jurisdiction of the school district, a governmental entity.
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CEO/Director*

Full NameTitle
Contact*

Full NameTitle
Contact Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Website*
Provide a brief summary of the mission of your organization as well as the core programs/services offered:*

0/250
Proposal Request
Program / Project Name
Total Program Budget
Requested Amount*
Estimated Completion Date

MonthDayYear
Please provide all pertinent information related to the following questions as succinctly as possible:
1. Explain how the requested grant funds will be used (e.g. equipment, staff, materials, etc.) and describe the projected impact of the grant funds on the program: *

0/250
2. Describe the program(s) or service(s) that will benefit from the funds (include primary program activities and the target population with relevant characteristics [age, gender, education or employment level, etc.] and number served, as applicable:*

0/250
3. If the request is for equipment or other capital needs, provide a detailed description of the item(s) along with quoted costs (include 3rd party invoices if possible). And/or if the request is for program or operational expenses, please provide a detailed budget for how funds will be used: *
Please attach any additional documents you feel would be helpful for our consideration:

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Upon completion of the project, we ask grant recipients to e-mail a written report containing a summary description as well as photos (if desired) to the address below.

Reach out to admin@beatymartinez.org with any questions!
Should be Empty:

Beaty Martinez Foundation Grant Application