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Tell us about your organization, the need you are meeting, and what this funding would make possible.

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Grant Application

Share the full picture of your organization and the work this funding would make possible.

Applicant details

Name of Organization Applying

Amount Requested

Charitable Registration Number

Name of Contact Person

Title

Telephone

Address

Email Address

About Your Organization

1. What is your organization’s mission or objective statement?

2. What is the purpose of your organization, and whom does it serve?

3. When was your organization formed?

4. What fundraising activities or other grant requests has your organization engaged in over the past two years in support of this project/activity?

Please provide details of funds raised and grants received.

About Your Grant Request

1. NEED: What needs or issues will this grant address? How was this identified?

2. PURPOSE: What will this grant specifically accomplish?

3. WHO: Describe who will be served or benefit, how many will benefit, and the geographic area served.

4. EVALUATION: If this application is for a specific project, how will success be monitored and evaluated?

5. OTHER: Is there anything else you would like us to know about your organization or project? (optional)

Additional Information

Additional details

Use this space for any additional details you wish to provide.

Fields marked with are required.