Grant Application Form Page

Group Name*

Group's Website

Group's Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Group's Contact*

This must be the person completing the grant application.

First Last

Group Contact's Email*

Group Contact's Phone Number*

Is Your Group Incorporated?*

Is Your Group a 501(c)3 Organization?*

Please upload a copy of the letter from the IRS granting 501(c)3 status.*

Max. file size: 64 MB.

Group's Mission Statement*

Grant Request Amount*

Please indicate a dollar amount.

Use of Grant*

Use of Funds*

Grant Objectives*

Grant Beneficiaries*

Who will benefit from this grant? Please include the estimated number of direct beneficiaries.

What community needs will be met with this grant?*

Launch Date for Project or Event*

Implementation Schedule*

Provide a brief timeline of the project or event implementation.

Will these grant funds be used to purchase equipment?*

Who will own the purchased equipment?

Overall Budget*

What are the overall costs of the event/project for which this grant will be used?

Current Designated Funds*

What amount, if any, has your group already budgeted for this activity/project? Please elaborate as needed.

Total Annual Budget for Organization*

Please attach an annual budget showing income and expenses for your organization.

Max. file size: 64 MB.

Grant Use Acknowledgement*

I certify that all the information provided on this application is true and I agree to use any money granted for the items requested above.

Community Consent*

I consent to the Homeschool Community Foundation sharing with donors information regarding grant use and results.

Media Consent*

I consent to the Homeschool Community Foundation using pictures or quotes of my group for media purposes.

Date*

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