Online Grant Application Form

In order to submit a grant request, you must be a client of Beauport Financial or have an approval to submit a grant on ones behalf.

BFS Client Affiliated with this requestfull name of client

Nameyour full name

Emaila valid email

Charity Name

City

State

Zip Code

Fed. Tax ID #

Exempt Under Sec. 501 (C) (3) of the IRS Code?

YesNo

If Yes, Please attach IRS determination letter:upload

Upload

(If no, please read eligibility requirements and attach detailed explanation of eleigibility)

Detailed explanation of eligibility:

0 /

What is the purpose or mission statement of your organization?

0 /

Chairman of the Board:

Name

Phone

Addressyour full name

Emaila valid email

Executive Director:

Name

Phone

Addressyour full name

Emaila valid email

Treasurer:

Name

Phone

Addressyour full name

Emaila valid email

II. Grant Request Information

Amount of Request: $

Check One

General OperationsSpecial Project

In one sentence, please summarize how the funds request will be used:

0 /

Why do you think this use is needed?

0 /

Person responsible for project/proposal:

Phone:

Address:

We hereby apply for a grant in the amount listed above and certify that the information contained herein and in the attached materials is true and correct to the best of our knowledge.

(required)

I accept

Organization:

By (authorized office):

Title

A one-page narrative should be submitted with the application form.

Please review our Program Overview document for more details.

Please click here to upload your proposal

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