Grant Letter Of Inquiry Form

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GRANT LETTER OF INQUIRY FORM
Please read the eligibility requirements on the Grants page at our website,
before completing and submitting this Letter of Inquiry (LOI) Form.
Organization Name
Website
Address
City
State
Zip
Year Founded
EIN
Project or Program Title
Contact Person/Title
Phone
E-mail address
Please select only one Focus Area for your application:
Culture
Education
Environment
Family
Health & Wellness
Project or Program Summary Information:
Please provide a 2 to 3 sentence summary description of
your proposed project or program.
I certify that this organization is an IRS 501(c)(3) organization. I certify that to the best of our
knowledge, all information provided on this Form and in the required attachment is accurate
and complete.
Authorized Name and Title (please print or type name)
Signature
Date

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