Grant Applications Form
Name of project __________________________________________________________________________________________
Purpose of grant (one sentence) _____________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Purpose of grant (please check all that apply)
_____ Matching grant _____ New project _____ Educational
_____ Arts and culture _____ Health and human services _____ Problem prevention
_____ Youth and recreation _____ Start up project
_____ Collaborative project with other organization _______________________________________________________________
Date project is to be completed ________________________ Geographic area served ______________________
Total cost of project _______________________________
Amount requested from the Allendale Community Foundation _________________________________
Other sources of project funding _______________________________________________________________________________
Date of application _______________________________
Legal name of organization applying _________________________________________________________________________
Year founded _____________________ Current operating budget _______________________________________
Executive Director ________________________________________ Phone ________________________________
Contact person __________________________________________ Title _________________________________
Phone ________________________________________ Email ________________________________________
Organization address _____________________________________________________________________________________
City _____________________________ State ____________________ Zip _____________________
Fax number _________________________________________
__________________________________________________________ __________________________________
Signature, Chairperson, Board of Directors Date
___________________________________________________________ ___________________________________
Signature, Executive Director Date
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