Organization Name
Organization Size
Please Select
1-25
25-50
50-100
Greater than 100
Organization Type
Please Select
Non Profit / Charitable Organizations
Churches and Religious Organizations
Private Foundations
Requestor Name
First Name
Last Name
Email
example@example.com
Confirm Email
*
example@example.com
Organization Phone Number
-
Area Code
Phone Number
Purpose of the Grant
Please Select
Enlightenment
Advancement
Arts
BIPOC
LGBTQIA+
Grant Amount Request
Please Select
$1,000
$2,000
$2,500
$3,000
$4,000
$5,000
Detail of Grant Request
Browse Files
Please upload .doc or PDF file
Cancel
of
What metrics will determine impact of this donation.
Submit
Should be Empty: