AOCOO-HNS Grant Application
Maximum of up to $25,000 can be applied for your project
What is your name?
*
First Name
Last Name
Organizations Name?
Address where you want check mailed
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
The email address we should use for communicating with you?
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example@example.com
Cell Phone Number to text or call you if more information is needed.
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Please enter a valid phone number.
Please enter your social security number or the organizations EIN number.
*
Please provide us with an executive summary of how the funding will be used.
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Please provide a timeline for the project.
*
Please upload proof of non-profit status (letter from IRS) if applicable.
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Please upload a current and completed W9 form.
*
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Please upload the budget for the project for which you are request funding.
*
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Please upload your needs assessment for this project.
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Submit
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