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 Contact Email.
• Print emailed Application PDF and send it by postal mail with required documentation.
• Or download an Application, complete offline, and send it by postal mail with 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 *

Do Fiscal us

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