Affiliate Grant Application

From the 
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Primary Contact Information for Person Completing Grant Application for the Organization










Organization Information


This is the Federal Tax ID Number, also known as an EIN Employer Number. Nonprofits, Schools and Government Entities have them. (Not a State ID Number.)

















Use "Ctrl" to select multiple Counties.
Fiscal Sponsor Information
Due to IRS regulations, your application will require a "fiscal sponsor" partnership. A fiscal sponsor is a non-profit entity (i.e. a 501(c)3 public charity, a unit of government or a public agency) that accepts responsibility for the project/activities of an organization that does not have tax-exempt status, but whose project clearly demonstrates a public benefit. 



This is the Federal Tax ID Number, also known as an EIN Number. (Not a State ID Number.)


Enter only email addresses such as "info@".










Proposed Project Information

A 1-3 sentence summation of the project



Enter amount, no dollar sign.
$500 or more.
MM/DD/YYYY
MM/DD/YYYY
Indicate the projected number to be served by your project:
Enter an estimated number not a range.
Enter an estimated number not a range.
Enter an estimated number not a range.
Enter an estimated number not a range.

Supporting documents for the organization or grant application can be uploaded here.
AUTHORIZATION