Grant Application – Greater Sun Lakes Community Foundation

Legal name of organization:*

Organization Designated leader:*

Mailing Address:*

Street Address City State ZIP Code

Organization's e-mail address:

Telephone:*

Fax:

Website

Has the organization been designated 501 (c) 3?Untitled

Please answer YES or NO by clicking in the box.

Organization's taxpayer ID number:

Does your organization have a checking account?

Please answer YES or NO by clicking in the box

Annual budget of organization:

for fiscal year

Total number organization members:

Brief description of organization and population your organization serves:

Program/Project Name:*

Amount requested: $*

Time period for program/project: From

To:

Under which key area(s) of The Foundation's mission does your program fall?

Please add Health, Education or Culture by clicking in the box.

What needs will your Program/Project fulfill?

Who will benefit directly and indirectly from this program?

How will you measure the success of the project?

Authorized signature & title*

Date

Telephone:*

E-mail:

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Phone

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