Funding Application

Funding Applications are only accepted July 1 -31 and December 1 – 31.

Grant Application

Name of Organization:*
Contact:*
First Last
Email:*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone:*

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Project Name:*
Funding Request Amount: (e.g. 100.00)*
Number must be in this format: 100.00 (no dollar sign)
1. Describe the purpose and structure of your organization (i.e. Board of Trustees, etc.):*
Do you submit a 990 to the IRS?
- Yes
- No
If Yes, what type of form?*
- Short
- Long
If No, then please explain:*
2. Describe the specific project for which you are requesting funding and specifically how the money will be used:*
3. Is this a new venture or an expansion of an existing project?*

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4. If money is awarded, what is the projects' timeline for implementation?*
5. Briefly describe both the immediate and long-term results anticipated from this project?*
6. Name other organizations, if any, you will work with on this project?*

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7. What other funding sources do you have, or plan to approach for this project?*
8. How will this project be funded in the future?*
9. If Service League provided only a portion of your request, what would happen to this project?*

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10. If money is awarded, how will you promote that Service League was the sponsor (press release, newsletter, etc.)?*
11. Would there be an opportunity for Service League members to volunteer or be on the supervising body of your organization?*

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Prepared by:*
First Last
Date:*
Date Format: MM slash DD slash YYYY
Title:*
Preparer's Signature*
Submitted by:*
First Last
Date:*
Date Format: MM slash DD slash YYYY
Executive Director or CEO's Signature:*
Sign name above using mouse or touch pad
Executive Director or CEO's Name:*
Supporting Documents: Project Budget, IRS 501(c)3 Determination Letter or Exemption Letters. SEE INSTRUCTIONS FOR REQUIRED SUPPORT DOCUMENTS. (If Applicable)
Drop files here or

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Preview Your Submission

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Submission Date
Date Format: MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

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