Before you begin ...

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*REQUIRED QUESTIONS ARE DESIGNATED WITH A RED STAR*

Please answer the following eligibility questions. If you answer no to any of the questions in Section I, your organization would not be eligible for this grant program. We will contact you to notify whether your organization has been selected to submit a full application.

I. Eligibility Check

 

II. Organization Information

City
State
Zip
First Name
Last Name

III. Financial Information

Upload a copy of the applicant's IRS Form 990, Form 990-EZ, or Form 990-n (e-Postcard) that was filed for the three most recently completed fiscal years.

Please include either the signatures by both officer and preparer or the IRS Form 8879 for e-file signature authorization.

If a 990 is not available, please upload a statement explaining its absence.

 

We certify that the information contained in this application, including all attachments, is true and correct to the best of our knowledge.

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