Contact Information
Chapter Name
*
Contact Name
*
Contact Position
*
(President, Treasurer, Staff, Member, etc.)
Email
*
Phone Number
*
-
Area Code
Phone Number
Request Amount
*
Groups may request $250-2,500
Grant Track
*
Organizational Development Track
Programming Track
Grant Proposal
What is your proposal? Include short description with outline of plan and purpose. (limit 500 words)
*
0/500
What is the timeline for achieving your results? (limit 500 words)
*
0/500
Upload a budget for the project that explains the breakdown of expenses and how requested amount will be spent
*
Accepted files: pdf, doc, docx, xls, xlsx, csv, txt, rtf
How will you measure project's effectiveness? (limit 500 words)
*
0/500
Chapter Information
Number of members
*
Meeting place
*
(Community Center, UU Church, Denny's, etc.)
City & State
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event frequency
*
Annual operating budget
*
(estimate)
Current balance in operating fund
*
(estimate)
Group's EIN
*
Employer Identification Number / Federal Tax Identification Number
Additional Useful Information
Submit Your Proposal
Should be Empty: