Organization Funding Request Form
Thank you for your interest in requesting funds from our foundation. Please complete all required fields. Please note that submission of an application does not guarantee funding. Please allow the Alexander Family Foundation 14 business days from the date of submission to review your request and render a funding decision via your preferred method of communication (you will also receive written notification of the funding decision).
Requesting Organization Contact Information
Legal Organization Name
Is Your Organization a Registered Non-profit?
Please Select
Yes
No
Please provide the organization's EIN/Tax ID Number
Requesting Organization's Point of Contact
First Name
Last Name
Please Document Your Position Within the Organization
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address (if applicable)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Contact Method
Email
Phone
Mail
Funding Request Information
Funding Amount Requested
If requesting in-kind support, describe the needed goods.
Please describe how the requested funds/goods will be used, including the programs, activities, or expenses they will support.
Requested Disbursement Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Payment Method
Please Select
Check
Online Payment (Zelle)
May the Alexander Family Foundation Publicly Acknowledge This Donation?
Please Select
Yes
No
Additional Comments
Certification
By submitting this application, I certify that the information provided is accurate, funds will be used for charitable purposes only, and that your organization agrees to provide additional documentation, if requested.
Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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