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Grant Funding Request Form

- Light for Beaufort

If your Applicant Information Request has been approved, please complete this final step for grant funding.
Grant Funding Request Application Form
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- Date of Application REQUIRED Please fill out this field. Please enter valid data.
- Name of Organization REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City, State and Zipcode REQUIRED Please fill out this field. Please enter valid data.
- Phone REQUIRED Please fill out this field. Please enter valid data.
- Fax Number Please enter valid data.
- Organization Website Please enter valid data.
- Contact Person Name and Title REQUIRED Please fill out this field. Please enter valid data.
- Phone, Fax and Email REQUIRED Please fill out this field. Please enter valid data.
- Organization's Mission Statement REQUIRED Please fill out this field.
- Please provide a brief history/description of the organization REQUIRED Please fill out this field.
- Please describe how your organization provides for the needs of the residents of Northern Beaufort County(North of Broad River) REQUIRED Please fill out this field.
- To your knowledge, are there any other agencies providing this service? If so, Who? REQUIRED Please fill out this field.
- Are you a United Way Agency? Yes No
- Briefly describe the project for which you are seeking support. How will the funds be used? REQUIRED Please fill out this field.
- Who will benefit from the project and what community needs does the project address? REQUIRED Please fill out this field.
- What are the goals for the project? REQUIRED Please fill out this field.
- How will you measure the impact of your project in the community? REQUIRED Please fill out this field.
- What are the total funds needed for this project? REQUIRED Please fill out this field.
- Have you applied to other organizations for funding for this project? If yes, please list them. REQUIRED Please fill out this field.
- Please list other funders committed to the specified project. REQUIRED Please fill out this field.
- If St. Peter's funds only a portion of your request, will the project move forward? Yes No
- If "yes", describe
- Briefly tell us why you should be awarded these funds. REQUIRED Please fill out this field.
- Are members of St. Peter's Catholic Church involved with your organization? If yes, who? REQUIRED Please fill out this field.
- Are there opportunities for members of St. Peter's Catholic Church to volunteer with your organization? REQUIRED Please fill out this field.
- Do you carry any of the following types of insurance? Directors & Officers (D&O) General Liability Property & Casualty Workers Comp. Other
- Please provide a summary (1 page) of your organization's annual income and expenses. REQUIRED Please fill out this field.
- Name and Title REQUIRED Please fill out this field. Please enter valid data.
Submit

Grant Funding Request Form

If your Applicant Information Request has been approved, please complete this final step for grant funding.