Grant Application

PBMares Cares Grant Application

Complete the form with your project details and supporting information.
Applicant Entity Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Is your organization a 501(c)3?
Amount Requested (USD)
Are you able to provide audited financials upon request?
What is your annual organizational budget?
If you were referred by someone to apply to the PBMares grant program, please note name and relationship to organization.
Closest PBMares Office Location
If your address does not match the PBMares Office Location indicated, please explain in detail how your organization services the area you selected (satellite office, etc.)
Have you previously received funding from PBMares? If so please list details (amount, year received, type and purpose)
Is an employee of PBMares currently serving on your board?

Other
If so, what is their name?
Are you a current or past client of PBMares?
Any other engagement with PBMares or its employees?
What is the mission of your organization?
Please choose which philanthropic pillar you are addressing in your grant application.
Please describe in detail the service, program, or project for which you are seeking grant funding. Be clear and concise in your description and how it aligns with our philanthropic mission (outlined in previous question). Please avoid lengthy narratives that do not directly address the question.
Who are the anticipated participants (audience) of this project/program?
Please describe the anticipated IMPACT ON or BENEFIT TO participants (audience) of this project/program.
Is there any other information that you would like to share in support of your grant application?
Please provide a budget narrative.
Would you like to provide an itemized list of expenditures to support your budget narrative?
Anticipated Expenditure of Requested Funds from PBMares
PHYSICAL ADDRESS

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Who is the contact for this grant application?

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Supporting Documents (Proposal, Budget, etc.) - This is optional.

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Should be Empty:

PBMares Cares Grant Application