Apply for a Grant

There are two methods to apply for a Grant:
• Submit this Application form online which will email the results to the submitted Contact Email.
• THEN Print the emailed Grant Application PDF, and send it by POSTAL MAIL WITH required documentation. Please check your email Junk Mail folder if you do not receive an email within 15 minutes of submitting the online application.
• OR download an Application, complete offline, and send it by POSTAL MAIL WITH required documentation.

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Date *

Name of Organization *

Federal I.D. No. *

County of origin in KY *

Have you applied to us before? *— Select Choice —NoYes

Organization Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Contact Person *

Contact Phone Number *

Contact Email *

ends the project:

Board Chair

President or CEO

Brief statement of organization’s history, mission, and goals: *

Does organization have an endowment?NoYes

How is the endowment used?

No. of Employees & Volunteers *

Geographic Area Served: *

No. of People Served by this project: *

Description of the project or activity this grant would fund: *

Total cost of project *

Amount of this request *

Do you receive funding? *

• State
• Federal
• Local
• None

How will this project be sustained in the future? *

Annual Operating Budget

Fiscal year begins

Fiscal year ends

Evidence of community support: *

Submit