Grant Application

Programs Grant Application

Does not require a Letter of Inquiry first.
Which Program is your Organization applying for:

STEM Sprouts (Max $25,000)STEM Stars (Max $25,000)STEM Scholars (Max $25,000)Teen Tech Competition (Max $50,000)
Before you begin, please review the Application Submission Guidelines and the Terms and Conditions by visiting the links below and checking the appropriate box after reviewing:
Full Legal Name of Organization:*
Contact Person*

First NameLast Name
Title*
Contact Person E-Mail Address*
example@example.com
Contact Person Phone Number*
Please enter a valid phone number.
EIN:*
Physical Address of Organization:*

Street Address

Street Address Line 2

CityState

Zip Code
Mailing Address is Different from Physical Address:*

YesNo
Mailing Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Has this Organization received funding from us in the past?*

YesNo
What is the specific Project or Program name that funding is being requested for?*
Amount of Grant Request:*
Which state will this grant benefit?*
Brief Summary of the Proposed Project/ Program*

Brief summary of what the Organization is requesting funding for including but not limited to details about why it is needed, if the project or program is new or how long it has been in existence, its growth, evolution, trials and tribulations, etc.0/500
Is this a new or existing project/program?*

New Project/ProgramExisting Project/Program
Total Budget for the Project/Program?*
Percent of Project/Program Budget Requested:*
How much has been raised so far?*
Percent of Project/Program Budget Raised so far:*
Organizations Total Annual Budget from all Sources:*
Percent of Total Organization Budget Requested:*
Grant Period Beginning:*

MonthDayYear
Grant Period Ending*

MonthDayYear
What best describes the initiative that this funding would be used for?*

STEM Early EducationMedical Advances/ResearchSTEM High School EducationSTEM College/University EducationSTEM RoboticsEntrepreneurshipTech CompetitionGeneral STEM/STEAM
Why is this Project/Program needed:*

0/500
What do you hope the outcomes will be:*

0/500
Additional Information (Optional):
Geographic Reach*

LocalRegionalState-WideSurrounding StatesNational
Approximately How Many People will Benefit from this Grant:*
Past Grant Information
Has this organization submitted all past annual reports using the Submit Report link on the Reporting page of our website?*

YesNoN/A
Most Recent Grants Received from Us:
Please enter up to the last 5 grants received from our Foundation:*
MM/DD/YYYY - $00,000
MM/DD/YYYY - $00,000
MM/DD/YYYY - $00,000
MM/DD/YYYY - $00,000
MM/DD/YYYY - $00,000
Most Recent Grants Received from other Foundations:
Please enter up to the last 5 grants received from other Foundations:*
Name of Foundation - MM/DD/YYYY - $00,000
Name of Foundation - MM/DD/YYYY - $00,000
Name of Foundation - MM/DD/YYYY - $00,000
Name of Foundation - MM/DD/YYYY - $00,000
Name of Foundation - MM/DD/YYYY - $00,000
Additional Organization Specifics
Organization Website:*
Organization President/ Executive Director*

First NameLast Name
President/ Exe. Dir. E-Mail Address*
example@example.com
President/ Exe. Dir. Phone Number*
Please enter a valid phone number.
Organization's Mission Statement:*
Please only submit your actual Mission Statement.
Geographic Area Served:*
Please describe your geographic reach and the areas where your work occurs.
Statement Regarding IRS Designation:
Date Established:*

MonthDayYear
Total # of Board Members:*
Total # of Staff:*
Should be Empty:

Programs Grant Application

Before you begin, please review the Application Submission Guidelines and the Terms and Conditions by visiting the links below and checking the appropriate box after reviewing:

Past Grant Information

Most Recent Grants Received from Us:

Most Recent Grants Received from other Foundations:

Additional Organization Specifics

Statement Regarding IRS Designation: