Jung Family Painting Grant

1

Organization Name* This field is required.

2

Website URL* This field is required.

3

Name* This field is required.

First Name

Last Name

4

Title* This field is required.

example: Executive Director

5

Email* This field is required.

6

Phone Number* This field is required.

Area Code

Phone Number

7

How many people (beneficiaries) does your organization serve annually?* This field is required.

8

Are some or all of your beneficiaries 'underserved'? (e.g poor, minority, under-employed, seniors, people with disabilities, special needs)?* This field is required.

9

If yes, please provide a short description of who they are and why they are considered underserved:* This field is required.

11

How many Full-time employees are at your organization?* This field is required.

12

How many Part-time employees are at your organization?* This field is required.

13

Describe the painting project you would like us to provide.* This field is required.

14

Why do you feel your organization deserves this grant?* This field is required.

15

Have you heard of Jung Family Painting before?* This field is required.

Yes

No

16

If so, from where?