CPF Grant Application Form 2026
Prior to completing this form, please refer to Chartway Promise Foundation’s Grant Application Webpage to determine if your organization or entity qualifies for consideration. Grants from Chartway Promise Foundation may only be used for programmatic support, funding for operational support will NOT be awarded. Completed applications are due on or before November 1, 2026.
Organization Name
*
Year of Incorporation
*
Organization Website
*
Mission of Your Organization
*
Contact Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does your organization bank at Chartway Credit Union?
Yes
No
In which Chartway Credit Union Market are you located?
Hampton Roads, Virginia
Salt Lake County, Utah
Tooele County, Utah
Iron County, Utah
Washington County, Utah
Great Houston area, Texas
Have you or others from your organization attended a Chartway Promise Foundation Fundraiser or Event?
*
Golf Tournament
Night of Joy/Night of Hope
Promise Night
No, I/we have not
Other
How did you hear about us?
*
Please Select
Social Media
Referral from Others
Website
Other
If you are a new applicant, have you met with Chartway Promise staff to discuss your program and financial needs? (This is recommended.)
Not a new applicant
New applicant and have met with CPF staff
New applicant and have not met with CPF staff
Name of Program to be Funded
*
Program Type
*
Funding Wishes/Dreams
Adaptive/Assistive Equipment
Respite Care
Camp/Activity
Other
Total Cost of the Program
*
Total Number of Children Served by the Program
*
Grant Amount Requested
*
Total Number of Children Served by the Grant Request
*
Description of the program. What impact will it make on the children (and their families) that you serve? How will it bring them joy, hope, and smiles?
*
If you are not asking for full program funding, from what other sources will you be obtaining funds to execute the program? Do you already have those funds secured?
Have you received previous grant funding from Chartway Promise?
*
Yes, for the same program
Yes, for a different program
No
If you are a past recipient, what was the year and amount of your most recent grant?
Are you a tax-exempt 501(c)(3) organization?
*
Yes
No
Current percentage (%) rating on Charity Navigator (if no rating, please explain why).
*
The next questions are based on your 2025 Form 990. If your 2025 Form 990 is completed and filed, enter 2025 in the box below. If you have filed an extension and using 2024, please note that below, as well as your expected 2025 Form 990 completion.
*
Total Revenue (Part I Line 12)
*
Net Revenue (Part I Line 19)
*
Salaries and Compensation (Part I Line 15)
*
Net Assets or Fund Balances (Part I Line 22)
*
Total Functional Expenses (Part IX line 25 col A)
*
Program Expenses (Part IX Line 25 col B)
*
Management Expenses (Part IX Line 25 col C)
*
Please list major funders that account for more than 10% of your total budget and the percentage or dollar amount they contribute.
Cover letter prepared on business letterhead outlining a description of the organization's mission and current funding needs.
*
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501(c)(3) IRS tax exemption determination letter.
*
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Copy of most recent IRS form 990 noted above (only the pages requested below). Parts I and II (page 1) Part VIII (page 9) Part IX (page 10) Part XI (page 12).
*
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Total annual program budget.
*
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By initialing below, I attest that the information included in this application is accurate at the time of submission.
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