Tolbert Community Grants Application

Cart 0

Organizational Information

Organization Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is this organization a 501©(3) public charity?

EIN

Briefly describe your organization:

Contact Information

Name

First Name

Last Name

Title

Phone

(###)

###

####

Service and Need Information

Service area addressed as it relates to the funding priorities of this grant:

Does this request express a need for direct operating support?

What problem are you working to solve?

Please describe the service you are initiating or expanding:

Approximately how much funding are you requesting?

How many underserved adults will be positively impacted by your efforts?

How many underserved children will be positively impacted by your efforts?

How will you implement your service efforts?

Approximate start AND end date for the use of your funding?

Email a copy of budget for the project to lneely@fpclagrange.org

Application will not be considered complete until we receive a copy of your budget via email. Please contact Pastor Laura Neely at lneely@fpclagrange.org with any questions or concerns.