Small Organization Application

Name of the organization

Name of Point of Contact

Point of Contact Phone

Point of Contact Email

What is the mission of your organization?

How long has your organization been in operation?

How many people are directly impacted by your organization annually?

How is your organization currently funded?

Please provide annual revenue and expenditure for the last two years

How do you plan to use the requested funds?

What makes your organization the ideal candidate for this funding opportunity?

List two references here along with their contact information. One of the references must be a current or recent recipient of your services?

Please upload one letter of recommendation