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Grant Application

REVIEW BEFORE SUBMITTING

Please make sure everything is filled in before submitting. All information is required to be considered for a grant. If there are any questions please feel free to contact us

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Name of Organization(Required)

Street Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Contact Person(Required)

Phone(Required)

Email(Required)

Tax Exempt No.(Required)

Dollar Amount Requested (Round to nearest whole $)(Required)

Minimum Dollar Amount Needed (Amount To Start Project)(Required)

Estimated Completion Date(Required)

Did You Receive Funds Last Year or in Previous Years?(Required)

Yes

Year Funds Received(Required)

Did you complete a GUR?

Yes

1. Mission of Organization(Required)

2. Description of Project(Required)

3. Explain how this project benefits the people in and around the community of Orland.(Required)

4. Project expenditures including all materials, labor, fees (upload Word, PDF, or Excel)

Max. file size: 8 MB.

Bids and any other supporting documents.

Max. file size: 8 MB.

5. What sources other than the Foundation are available to fund the project:(Required)

6. How shall the grant be recognized by your organization? (newspaper, thank you note, plaque, etc.)(Required)

7. Attach organization’s current year’s budget(Required)

Max. file size: 8 MB.

8. Attach organization’s previous year’s financial statements(Required)

Max. file size: 8 MB.

Grant Utilization Report Contact Name

Grant Utilization Report Contact Phone

Grant Utilization Report Contact Email

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