GRANT APPLICATION
For Soles Walking 4 Souls Non-Profit Grant
Organization Description/Background:
Organization's Mission Statement:
Contact Information
Full Legal Organization Name:
Organization Website:
DBA, if applicable:
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization President / Executive Director:
First Name
Last Name
Title:
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
E-Mail Address:
example@example.com
Please List All Board Members Below:
Contact Person:
First Name
Last Name
Title:
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
E-Mail Address:
example@example.com
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Organization Information
501(c)(3)?
Yes
No
Year Established
Federal Tax Identification Number:
Please Upload Your IRS Determination Letter:
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Total Annual Organization Budget:
Total # of Board Members:
Total # of Staff:
Total # of Volunteers:
Percentage of Board Members who contributed financially to your organization last year:
Amount of monetary contributions received from the Board last year:
Attach your organization’s 2025 budget forecast:
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Proposal Request
Requested Amount:
Percent of Total Budget:
Type of Request:
Please Select
General Operating
Multi-Year Project
Program Support
Start Up
Grant Period From:
-
Month
-
Day
Year
Date
Grant Period To:
-
Month
-
Day
Year
Date
Population Served:
Geographic Area Served:
Priority funding areas:
Please detail how the funds from the grant will be used:
Signature
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Should be Empty: