Grant Application

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Contact Information

Board Roles and responsible parties for executive leadership and program oversight may be shared. However, please be sure the information provided below is consistent with IRS and state registration.
Please submit a copy of a Certificate of Good Standing, issued within the past 30 days, from the state in which the organization is registered.
Max. file size: 128 MB.
Board Chair*
President*
Secretary*
Treasurer*
Chief Executive*
Program Manager*

Entity Detail

10 Words or less
10 Words or less
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Max. file size: 128 MB.
Drop files here or
Max. file size: 128 MB.
    Max. file size: 128 MB.
    If the organization has not yet received its 501c3 determination letter, please upload the application submitted to the IRS.
    By checking this box you confirm that your organization's:*
    By checking this box you confirm that your organization's:*
    Authorized Signatory Submitting Application*