MICROGRANT APPLICATION
IN COLLABORATION WITH THE OUR FUND FOUNDATION
Contact Information
Full Legal Organization Name
*
Organization EIN
*
Organization Website
Primary Social Media Page
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization President / CEO / 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
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
Organization Information
501(c)(3)?
*
Yes
No
Year Established
*
Please upload your IRS issued 501(c)(3) determination letter
*
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Total Annual Organizational Budget
*
Brief Description of Organization
*
250 word maximum
0/250
Population Served
*
0/250
Proposal Request
Program / Project Name
*
Purpose and details of Program / Project (please include how the funds you are requesting will be used)
*
0/500
How does your Program / Project align with our mission of serving the South Florida women's community?
*
0/500
Geographic Area Served
*
Total Program / Project Budget
*
Separate program budget must be submitted with this application.
Requested Amount ($1000 maximum)
*
Upload detailed Program / Project budget here
*
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SIGNATURE
Please indicate agreement with the following statement: "All representations made herein are accurate and truthful to the best of my knowledge. If any omission or misrepresentation comes to my attention after submission of this grant application, I will promptly notify The Skirt Foundation. I understand that any intentional omissions or misrepresentations on this application or any supporting documents shall be reason to disqualify my from receiving this or any future grants from The Skirt Foundation. I understand that any material omissions or misrepresentations in this grant application or supporting documents, if discovered after disbursement of funds, shall nullify grant contract and shall obligate grantee to immediately return full amount of grant funds to The Skirt Foundation."
*
I agree with the above statement
I disagree with the above statement
Your name
*
First Name
Last Name
Your title/position within organization
*
Are you authorized to submit this grant application on behalf of your organization?
*
Yes
No
Your email
*
example@example.com
Your phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Signature
*
Submit
Submit
Should be Empty: