CFDC Grant Inquiry Form - Community Foundation of Dunn County

Grant Inquiry Form

To inquire about Field of Interest Funding or other funding that is not part of our competitive grant cycle, you are welcome to complete a Grant Inquiry Form. You may be asked to continue with a full grant proposal or submit additional documentation related to the inquiry. Submissions will be reviewed on a monthly basis.

"*" indicates required fields

Date*

Inquiries will be reviewed on a monthly basis. Requests must be for proposed costs of a project and not for reimbursements.

Eligibility

Organization Name*

Charitable Status*

Is this to support a 501(c)3 non-profit organization, governmental agency, school, or civic organization organized for a charitable purpose?

Geographic Area Served*

Is this grant inquiry to support a program or project that will serve primarily the citizens of Dunn County, Wisconsin?

Grant Overview

Contact Person*

First Last

Contact Title:*

Email*

Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Federal EIN Number*

Organization Description*

Provide a very brief history and description of your mission and programs.

Statement of Need*

Describe the specific need your organization wishes to address through this inquiry, including the target population and anticipated number of people who will be served.

Grant Inquiry Amount*

Please specify the amount of funding you are seeking for this specific inquiry.

Proposed Method & Cost*

Describe how your organization plans to address or solve the stated need, including the time-frame and cost breakdown.

File Upload

Please attach any letters of support or other relevant information related to the grant inquiry.

Drop files here or

Max. file size: 512 MB.

Authorization*

I certify that the information provided in this form is complete and accurate to the best of my knowledge. I understand that falsification of information will result in termination of any award granted. I certify that I will comply with all requests for further documentation. I will notify the Community Foundation of Dunn County (CFDC) of any changes to the above proposal.

Name

This field is for validation purposes and should be left unchanged.