Please use the following Grant Application Format to submit your proposal.

I. Summary Page – One Page to include:

  • Name, address, and telephone number of organization
  • Date of submission
  • Contact person and title
  • Title of project or other identification
  • Total project budget amount
  • Amount requested
  • Period of time for which grant is requested (beginning and ending dates)
  • Organizations name as it appears on IRS exemption letter
  • On the balance of page, please describe briefly the nature of the project and the purpose for which funds are requested

II. Grant Request

  • The project plan and measurable objectives (3 pages or less)
  • Project budget for grant period requested (1 page)
  • Other sources of support for this project (1 page)
  • Most recent organization financial statement
  • Copy of IRS exemption letter

Download PDF Grant application and reporting form (Printable PDF)
Download WORD Grant application and reporting form (Word Document for electronic completion