202X Grant Request Application (CLOSED)

202X Grant Request Application (COVER Page)

(Note: Submit this cover page along with up to 5 additional pages. The questions on this COVER page and the following Details page must be completed. References are encouraged and should be included on a separate page. The reference page does not need to be included in the total page count.)

Title:  ________________________________________________________________________

Purpose of proposed project (25-word limit): __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

FOFFOS support enables: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Funds requested (total): ­­­­­­­_______________________

Applicant organization: name, brief description of mission/work:

____________________________________________________________________________________________________________________________________________________________

Website:______________________________________________________________________

501(c)(3) tax ID#: ______________________________________________________________

Name, title, physical and email addresses of contact:

______________________________________________________________________________

______________________________________________________________________________ ______________________________________________________________________________

Pages: 1 2 3