"CHARITY ORGANIZATION GRANT
Deadline for "Intent Application: March 2023
Contact Information
Full Legal Organization Name
*
Organization Website
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization President / Executive Director
*
First Name
Last Name
Title
*
Phone Number
*
-
Area Code
Phone Number
E-Mail Address
*
example@example.com
Contact Person
*
First Name
Last Name
Title
*
Phone Number
*
-
Area Code
Phone Number
E-Mail Address
*
example@example.com
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"YOU ARE NOT ALONE" GRANT APPLICATION
Organization Information
501(c)(3)?
*
Yes
No
Year Established
*
Fiscal sponsor name
*
Fiscal sponsor address
*
Total Organization Budget
*
Total # of Board Members
*
Total # of Staff
*
Total # of Volunteers
*
Organizational Mission Statements
*
Brief Description of Organization
*
Population Served
*
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"YOU ARE NOT ALONE" GRANT APPLICATION
Proposal Request
Program / Project Name
*
Total Program Budget
*
Percent of Total Budget
*
Intent to apply
*
JULY 2023 "YOU ARE NOT ALONE" CHARITY ORGANIZATION GRANT
Geographic Area Served
*
Priority funding areas
*
Submit
Should be Empty: