Usibelli Foundation Grant Application
The Usibelli Foundation provides grants to registered 501(c)(3) nonprofit, charitable organizations in the areas of: Arts, Community, Education, Health, Safety & Social Services, and Youth. The funds provided by the Foundation aim to help preserve Alaska's uniqueness and to strengthen the communities we support. If you are interested in applying for a grant, please complete the Grant Application Form below. Your application will be eligible only if all required form fields have been completed.
Full Legal Organization Name
*
Doing Business As (D.B.A)
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tax Identification Number
*
Internal Revenue Service (IRS) letter documenting current federal tax exemption under sections 501(c)(3) or 509(a).
*
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Website
*
Facebook Page
Instagram Page
Logo
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Primary Contact Information
Name
*
First Name
Last Name
Title
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Secondary Contact Information
Name
First Name
Last Name
Title
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Please select the geographic area that will be served by your organization's program, project, or event:
*
Fairbanks/North Pole
Healy/Anderson/Cantwell/Nenana
Mat-Su Valley
Anchorage
Other area within Alaska
Please select the category that best fits your grant request:
*
Arts & Culture
Community
Education
Environment
Health, Safety, and Social Services
Name of program, project, or event:
*
Date of program, project, or event:
*
-
Month
-
Day
Year
Date
Requested grant amount:
*
Total program budget:
*
Please provide a detailed summary of your request:
*
What is the approximate number of people that will benefit from your program, project, or event?
*
Please provide a list of other major donors and/or businesses that are supporting your program, project, or event:
*
Please upload a list of your current board of directors:
*
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Please upload any additional supporting documentation you'd like to share with the Allocations Committee:
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Please verify that you are human
*
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