EmailMe Form - Grant Application

Cooperative Name
Email
Phone
### - ### - ####
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Background on Cooperative (a short statement relating to purpose, mission, and history)
What is your artisanal craft(s)?
Main Contact/Leader of Cooperative
First Last
Request Title (example: New Workspace, Training and Design Sessions, Equipment, Supplies, Emergency Relief, Etc.)
Project Description (please be very specific about what the requested funds are for and outline detailed expenses and/or budget)
Estimated number of people the grant would serve
Grant amount requested ($5,000; $10,000; or $20,000)
How would this grant help your group to grow and expand?