Grant Readiness Assessment
|
Personal Information
|
| Name
*
|
|
|
| Company
*
|
|
|
| Phone Number
*
|
|
|
| Email
*
|
|
|
| Confirm
*
|
|
| Website
|
|
|
| Registered 501c3?
*
|
Yes No In Process
|
| Annual Budget
*
|
If you are unsure, or a newly formed agency enter $0.00
|
| Mission
|
|
|
| Previous Grants or Funding?
*
|
Yes No
|
| Matching Funds Available?
|
Yes No Unsure
|
| List current sources of income, such as bake sales, raffles, thrift store, etc.
|
|
|
| What year was your Organization Established?
*
|
|
|
| Do you have an active Board of Directors?
*
|
Yes No In Process
|
| Describe Purpose of Funding you Seek
*
|
|
|
| How Much Funding are you Seeking?
*
|
$5,000-$50,000 $50,000-$100,000 $100,000-$250,000 $250,000-greater
|
| Target Group(s):
*
|
Children Low Income Senior Citizens Animals Minority Groups Rural Teens Urban Veteran Women
|
| Grant/Funding Type:
*
|
Capital Operating Special Project New Program Program Expansion
|
| Project Impact Area:
*
|
Education Healthcare Community Human Services Environment Crime & Safety Arts & Culture Other
|
|
Image Verification
|
|
|
|
|
|
EMF HTML Form