Community Grants Application CompanyThis field is for validation purposes and should be left unchanged.Organization Name(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Website Contact Name(Required) First Last TitleContact Email(Required) Contact Phone(Please submit your request at least one month prior to the date needed.)Name / Description of Event or ActivityDate of Event MM slash DD slash YYYY Date StartDate of Event MM slash DD slash YYYY Date EndAnticipated Number of ParticipantsDescription of Services Provided, Community Served and Geographic Area of ServiceAttach a flyer (if available)Accepted file types: pdf, doc, jpg, Max. file size: 1 GB. Please upload 1 page document with description.Attach a detailed project budget(Required)Accepted file types: pdf, doc, jpg, Max. file size: 1 GB. Please upload a 1 page detailed budgetTotal Project Budget(Required)Amount Requested *(Required)Max of $3000Federal Employer Identification Number (FEIN)(if applicable)IRS 501(c)(3) Determination LetterAccepted file types: pdf, doc, jpg, Max. file size: 1 GB. (if applicable)
