Grant Application 1819 Step 1 of 4 25% Legal Name of Applicant Organization(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Executive Director/President/CEO Name and Title(Required)Telephone(Required)FaxContact Email(Required) Enter Email Confirm Email Year Organization Founded(Required)Organization’s Total Operating Budget(Required)Amount of Grant Request(Required) Fiscal Agent (if applicable)Name of Project(Required)Project/Program Abstract(Required)Brief summary of the project/program.List Recent Grant Funding Sources Project/Program Narrative(Required)Describe history, need, design, objectives, and methods (2–6 pages).Impact and Evaluation(Required)Define success and share experiences.Partners and Their Roles(Required)How does the project improve community quality of life?(Required) Sustainability Plan – Additional Support and Long-Term Plans(Required)Alternative Plan if Grant is not Approved(Required)Endorsement – Signature of Governing Board Chair/Executive Director(Required)Endorsement – Date(Required) MM slash DD slash YYYY Project/Program Budget DetailsList items and amounts.
