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Grant Application Form

Complete the form to apply for a grant from the Greenwell Foundation. Please note that some responses have maximum character limits.

Contact Information

Address(Required)
Your Name(Required)

Organization Background

Include: 1) how long the organization has been in existence, 2) geographic area served, 3) the number of people served annually, and 4) whether it is incorporated.
What problem/issue/community need are you addressing? How was this need determined?
Please provide specific, quantifiable targets for each outcome.
e.g., past results, adoption of best practices from other successful programs/organizations, use of evidence-based practices, etc.
Are other groups in the community working on this issue? Will this program/project involve working with these other organizations? If so, with whom and how?
Donations/contributions, government contracts, earned revenue, in-kind support, special events, fundraisers, etc. Details will be provided in the financial spreadsheet below.
Budget should be for the whole project, not just the GWF portion. A detailed budget for the GWF project will be provided in the financial spreadsheet below.
Including volunteer services.
For each funder, indicate amount requested and status of request, i.e., request will be submitted, is pending, was funded or was declined. If funded, specify the amount of the award.
i.e., contributions/donations, government contracts, earned revenue, in-kind support, special events, fundraisers, etc.

Attachments

Please provide a PDF file for each of the following:
  • Current 501(c)(3) designation
  • List of Key full-time Staff Members and list separately the number of part-time staff and volunteers
  • Names & Affiliations of Board Members and Frequency of Board Meetings
  • Financial Worksheet. Click the link in the online application to download the Financial Worksheet. Once complete please save & upload as an Excel file
  • The latest financial statement/Balance sheet for the most recently completed fiscal year
  • The most recent audit (if conducted)
Drop files here or
Accepted file types: pdf, xls, xlsx, Max. file size: 50 MB.
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