Grant Application CTXCF 2023

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Contact Information

Agency or Organization Name*

Agency or Organization Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Agency or Organization Phone*

Agency or Organization website*

Contact Person*

First Name

Last Name

Title of Contact Person*

Email of Contact Person*

Agency or Organization Information

List your organization's mission statement.*

List current board members.*

Which best represents your core mission area:*

Healthcare Education Advocacy Animal Welfare Veteran Services/Supports Community Services Women/Children Services/Supports

Other:

Program or Project Request

As a community foundation, we have a number of Fund Advisors in our network who may be interested in this project. Do you agree to let us forward the request for their consideration? Select one of the following:*

Yes, please share this application with other potential funders in the community foundation network. No, do not share this request with any other potential funders.

Grant Project Name*

Brief description of Grant Project*

Estimated total budget* $

Amount of request* $

I have a budget file to upload*

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File

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Number of participants supported by this grant project*

Briefly outline the project timeline (in months)*

List other community partners involved with this project*

How will you measure the project's success?*

Additional information regarding this project

Additional information to upload regarding this project

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