Grant Application Form
Download a blank fillable Grant Application Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Grant Application Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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1Grant Application
This is an interactive application that can be completed in Adobe Acrobat Reader. Complete application, print and submit with your
grant proposal to your local Gannett newspaper publisher. A blank application can be printed and completed offline if you prefer.
Legal Name of your Nonprofit Organization
(1)
Address
(2)
City /
State /
Zip
email
(3)
(4)
(5)
Authorized Contact Person
Prefix,
First Name,
Last Name
(6)
(7)
(8)
Title
Phone
FAX
(9)
(10)
(11)
Type of Organization*
(12)
Year Founded
Total Current Operating Budget
Primary Source of Funds
o
o
Prior Gannett Foundation Funding? NO
YES
, Amount/Year
Is your organization Tax Exempt Under IRS 501(c)(3)?
o
o
NO
YES
, this is our EIN no# -
(If YES, please attach IRS Letter with EIN# to this form)
(13a)
o
Application is pending (If approved, grant cannot be paid until permanent ruling is received)
If you answered NO to the question above, is your organization part of a municipality?
(i.e., part of city, state, town or county government. Examples are: Public school system,
city recreation departments, county council on aging, mental health, etc.)
o
o
NO
YES
, name of municipality:
(13b)
Grant Amount Requested $
(14)
Internal use only:
Local Gannett CEO Funding Recommendation
$
.00
(15)
Local Gannett CEO Signature
Total Project Cost $
Numbers Served by Project
Project Time Period
o
o
o
o
Program serves primarily: women
YES
NO;
racial/ethnic minorities
YES
NO
Geographic Area Served / Source of Other Funds to Support Project
Use the space below to write a short summary of the project/grant request*: (2-3 sentences maximum)
(16)
Signature of Contact Person
Date
*
Please refer to our code tables on the “application” page of our Web site, if you need assistance completing
fields 12 (Type of Organization) and 16 (Short Summary, so you can include information regarding “Program Area” and “Type of Service”).
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Parent category: Business