Please include the following information and send via email to bernauff@gmail.com:
General Information
Organization Name:
Project title (if applicable):
Address:
Phone:
Contact Person:
e-mail:
website:
Brief history of organization:
Number of paid staff:
Information about the request
Date of application:
Amount requested:
Type of support requested:
What would the funds be used to accomplish?
What geographic area will be served?