GENERAL FINANCIAL GRANT APPLICATION FORM
Please fill all required fields
ORGANIZATION INFORMATION
Name of Organization (No Abbreviations):
Abbreviation (if applicable):
Address:
Executive Director:
Mr.
Mrs.
Ms.
Dr.
Phone:
Fax:
Organization Website:
Mission of Organization:
CONTACT INFORMATION
Name of Contact Person:
Mr.
Mrs.
Ms.
Dr.
Title:
Phone:
Fax:
Contact Email:
TAX STATUS
501c3 Organization Listed Above:
Sponsored by 501c3 Parent Institutional or Fiscal Sponsor:
501c3 Parent Institutional or Fiscal Sponsor Contact Information
501c3 Parent Institution or Fiscal Sponsor Name:
(Attach a copy of Parent Institution/Sponsor 501c3 determination letter)
Name of Contact Person:
Title of Contact Person:
Address:
Phone:
Fax:
Government Agency or Public School:
Other:
Other (Explain):
PROPOSED FELLOWSHIP
Previous Grants from HFPA Trust:
List year and amount
Official Project Title:
Grant Amount Requested:
Total Project Budget:
Amount Applied to Overhead:
Project Timeline/Period:
Other Funders for the Project:
Request Statement:
(One sentence describing the proposed project including the grant amount requested, the project title, what will be accomplished)
Contact
Entry Forms
Screening Rooms
Grant Application
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