Grant Application

AMAZING GRACE LIFE GRANT APPLICATION

Contact Information

Full Legal Organization Name

Street Address

City

State

Zip Code

Organization Website

Organization President / Executive Director

Title

Phone Number

E-Mail Address

Contact Person

Title

Phone Number

E-Mail Address

AMAZING GRACE LIFE GRANT APPLICATION

Organization Information

501(c)(3)?

YesNo

Year Established

Total Organization Budget

Total # of Board Members

Total # of Staff

Total # of Volunteers

Upload most recent financial statements and Financial Audit, if applicable.

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Upload IRS determination Letter

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Organizational Mission Statements

Brief Description of Organization

Population Served

AMAZING GRACE LIFE GRANT APPLICATION

Proposal Request

Program / Project Name

Total Program Budget

Requested Amount

Percent of Total Budget

Type of Request

Please note: Grant requests will be considered in amounts of $1,000.00 - $25,000.00 in any calendar year. The maximum grant amounts will be reserved for charities that demonstrate a demand for Amazing Grace evangelism materials and their use to present the gospel of Jesus Christ.

Grant Period From

MonthDayYear

Grant Period To

MonthDayYear

Multi-Year?

YesNo

Geographic Area Served

How many Amazing Grace Booklets do you request?

How many Gospel of John Booklets do you request?

Please tell us how you will use the Booklets, who has requested them, and how they will be delivered. Please provide specific details.

Most recent grants received from this funder:

Amount (1)

Date (1)

MonthDayYear

Amount (2)

Date (2)

MonthDayYear

If you have received Amazing Grace Booklets in a prior year, please provide a report of how they were delivered, photos of recipients, and the number of people reached.

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If selected to receive a grant, all Grantee organizations agree to use funds only for the purposes for which the grant was made, as documented herein. All grants must meet the requirements of a charitable purpose as defined in Section 501c3 of the Internal Revenue Code. Grantee organizations must submit a six month report, six months after funds are distributed, and final written report after all funds have been used. Written reports must document how the grant purpose was fulfilled and account specifically for the use of funds on a line item basis. Amazinggrace.life reserves the right to withhold or recover grant funds if Grantee fails to provide the required reports or uses or misuses funds for any purpose other than in accordance with the grant.