IKDEF Grant App

2024 Isaac Knapp Dental Education Foundation Grant Application

GRANT APPLICATION DEADLINE: MARCH 15, 2024
Name of Contact Person:*

First NameLast Name
Title of Contact Person:*
Title
Email Address:*
Email
Organization:*
Organization Name
Is your organization a 501c3?*

YesNo
We can only disburse funds to nonprofit entities. Please upload your IRS Determination or Governmental Information letter below to confirm your nonprofit status.
Phone Number:*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grant Request is for (choose one):*

Dental EducationDental Clinic and/or Hygiene programOther
Write a brief description of your request OR upload a document describing your request.
Project Description (or upload file below)
Click to upload any additional files, including IRS determination letter

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Project Start Date:

MonthDayYear
Date
Project End Date:

MonthDayYear
Date
Who will benefit from this grant?*
General description
Estimated number of people to be served:
Estimated number of volunteers involved:
Geographical Area Served:
Total Project Budget:*
Amount requested from IKDEF: *
This application and any attachments must be submitted before March 15, 2024 to be considered for awards for the 2024 calendar year. Funds will be disbursed by June 2024. For questions, please contact Jamee at 260-459-9441 or email ikdef.office@gmail.com
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2024 Isaac Knapp Dental Education Foundation Grant Application