Funding Application Funding Applications are only accepted July 1 -31 and December 1 – 31. Please read our Application Instructions before filling out and submitting your Funding Application. Thank you! Grant Application Form Grant Application 1234567 Name of Organization:* Contact:* First Last Email:* Address:* 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 Phone:* 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?* 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?* 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?* 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?* Prepared by:* First Last Date:* MM slash DD slash YYYY Title:* Preparer's Signature*Submitted by:* First Last Date:* MM slash DD slash YYYY Executive Director or CEO's Signature:*Sign name above using mouse or touch padExecutive 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 Select files Max. file size: 500 MB. Preview Your Submission The information you've entered is below. Your application has NOT been sent yet. You must scroll to the bottom of the page and click the Submit button to complete this process.{all_fields}HiddenSubmission Date MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.