► GRANT APPLICATION

GRANT APPLICATION
THIS GRANT APPLICATION FORM IS THE FIRST STEP IN OUR GRANTMAKING PROCESS AND IS
REQUIRED IN ORDER TO RECEIVE ANY CONSIDERATION OF A GRANT REQUEST.
1.   Please provide full legal name.
2.
 

 
   
   
3.
 
(-
   
4.
5.
Has the applicant had an operating deficit within the last five years?
 
6.
  Be specific and limit your explanation to 100 words. State how many individuals your
program will help in Milwaukee/Waukesha Counties.
 $
7.
8.
Will any part of this grant be used for administrative costs, salaries or fund-raising appeals?
9.
Are you a 501(c)(3) tax exempt organization?
10.
If you are a 501(c)(3) tax exempt organization, are you an operating tax exempt organization?
11.
If you are not a tax exempt organization under IRC Section 501(c)(3), are you a qualified tax exempt organization
under which a charitable donation will qualify under Code Section 170(c)?
12.   
Only required for a 501(c)(3) tax exempt organization.
13.
 
 
14. Previous funding received from this foundation:
Year   Amount   Program Description
$
 
$
 
$
 
$
 
$
 
15.
If you have an entry on item 14, have you reported to us on those previous grants?
(If no, please report as soon as possible.)
Attachments Please attach the following documents:
Upload:
Upload:
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Terms & Conditions:
By checking this box, the undersigned, a representative of the applicant, submits this grant application for consideration and states that the above
information is true and correct and that its tax exempt status has not been revoked or modified.
 By:  
 
 
    Name   Title   Date

If you choose to save the information that you've entered and finish later, an e-mail will be sent to the e-mail address that you've entered in the form above. The e-mail will contain a link that you may click to return and complete the application. The link will be valid until the application is completed.

After a completed application is submitted, a link will be displayed that will open an Adobe acrobat document (PDF) so that you may print the completed application.