Internal:Grants/Form

Personal information
''Please tell us a little about yourself. If you are uncomfortable with posting any of the requested information publicly, please contact us for assistance.''


 * (1) What is your name? :


 * (2) What is your email address? :


 * (3) Do you currently reside in the United States? If not, please specify your country of residence. :


 * (4) Are you requesting this grant on behalf of an organization or group? If so, please provide the name of the group. :

Description of purpose
''Please tell us a little about the project or activity for which you are requesting funding. Please provide enough detail to allow us to evaluate how your request aligns with our charitable mission.''


 * (5) What is the purpose for which the funding will be used? :


 * (6) How does this purpose align with our mission? :

Grant financials
''Please tell us a little about the funding you need. To expedite review of your application, please provide as much detail as possible.''


 * (7) How much funding do you need? :


 * (8) When will you need funding? :


 * (9) What specific costs will the funding cover? :