I. Organization information
III. REQUESTED GRANT AMOUNT
IV. Proposal Information for a Specific Program and/or Project:
V. What social cause(s) will this request address
(Check all that apply)
viii. Agreement and signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a grant recipient, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate return of the funds. To be signed by Principle Officer or Chief Executive only.
I agree that by submitting this application, I am electronically signing the application.