• Current Organizational Information
  • Part II
  • Part III
  • Part IV: Project Evaluation
  • Complete

Applicants are requested to submit a complete application form based on the following criteria. For requests from $1 - $1,000 complete parts I and II; for requests $1,001 - $5,000 complete Parts I, II and III; for request over $5,000 complete parts I, II, II and IV. Please type or print in black ink. Attachments may be necessary due to space limitations. Attach with paper clip to the application form.

Part 1: Organizational Information

Address
Contact
Has your organization received notice from the Internal revenue service of a tax-exempt ruling or determination under Section 501 (c)(3) of the Internal Revenue Code?
Have you had any pending or recent lawsuits challenging the propriety of distribursements and/or actions of your staff, volunteers or board members?
Have you had any pending or recent publicly viewed as adverse or critical?