Grant Application for MFi Legacy Fund 2025

Medfield Foundation Legacy Fund Grant Application

Please fill out the following questions as accurately and as thoroughly as possible in the space provided.
Organization Name*
Are you a registered 501(c)(3) nonprofit organization OR do you have an eligible fiscal sponsor?*
If Yes to above , please provide Your Charitable Number
Do you have a website ?*
If yes, please provide the website address :
Contact E-mail*
Contact Phone number
Contact Address*

Street Address

Street Address Line 2

CityState

Zip Code
Executive Director Name

First NameLast NameSuffix
Your Name

First NameLast NameSuffix
Please state the mission/goals of your organization*

Project Details - MFi Legacy Fund Grant Application
Name of the Project:*
Is this a New or Existing Projects*
Project Start Date

MonthDayYear
Project End Date

MonthDayYear
Total Funds required to complete project.*
Amount Requested from Medfield Foundation Legacy Fund.*
Please describe the scope of this project.*
Who will benefit from this project?
Describe your plan of action including the methods you will use to evaluate this project.
Describe the capabilities of your organization to conduct the project and note any special staff qualifications.
Do you intend to cooperate with other agencies or non-profit organizations on this specific project? If not, why not?
How will this project be funded in the future?
What specific items would be covered by a grant from the MFi Legacy Fund?
How do you propose to recognize a grant from the MFi Legacy Fund?

Project Budget - MFi Legacy Fund Grant Application
Cost of Materials*
Salaries/benefits
Professional fees
Other costs
Total Project Expenditures
What is your “Time Frame” to obtain the funding required?
Please specify Number and Months or Years.
Project Funding - MFi Legacy Fund Grant Application

Details
Total Project funding Year 1.*
MFi Legacy Fund Grant*
Number of Other Funding Partners
Please list Partner Name, contact details and funding details?
Please list Partner Name, contact details and funding details?
Please list Partner Name, contact details and funding details?
Is there a Government Partner, contact details and funding details?
Is there any general Public funding - details ?
Grant Application Submit

Submit my Application
Project Documents & Finance Material

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I agree that the information herein are true and correct*

Yes
Date & Time of application.

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Date
Time AM/PM Option
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Medfield Foundation Legacy Fund Grant Application