Grant Request Form
Please use this form to submit a high level proposal for your grant request to The Berk Foundation. If we feel that your proposal and organization fits into our mission, we will ask you for a more detailed proposal with additional documentation.
*
denotes a field is required.
To view a pdf version off the application, please
click here
.
Qualifying Questions
Is your expense budget less than $3,000,000?
*
Yes
No
Are you located in the NY Tri-State area?
*
Yes
No
Are you being sponsored by a Berk Foundation Trustee?
*
Yes
No
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Organization Information
Organization Name
*
Organization Category
*
Please Select
Animals
Arts
Education
Environment
Food
Human Services
Seniors
Special Needs
Other
If your organization includes multiple categories, please pick one.
Organization Website
*
URL
Organization Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Mailing Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Name
*
Primary Contact Email
*
example@example.com
Primary Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization Tax ID
*
Tax Status
*
501 c 3
Fiscal Sponsor
Other
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Proposal Information
Describe your organization including an overview and history, mission and purpose.
*
250 words max.
0/250
What populations do you serve?
*
250 words max.
0/250
Describe your request: What are you asking for and why? Why does it matter?
*
1,000 words max.
0/1000
How much are you requesting?
*
Do not include the dollar sign
If this amount is not covering the full project, how will you get the remaining funding?
*
Links to Budget or 990 if available
Optional
Do you have any other comments you would like to share?
250 words max.
0/250
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I’m sorry. We only accept proposals from outside the NY Tri-state area if they are sponsored by a Berk Foundation Trustee.
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We regret that you do not meet our requirements to apply.
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