Grant Request - Life Skill Program Application

Business information

• Business name
• Legal business name
• Contact name
• Address
• Email
• Phone
• Website (Optional)
• Logo (Optional)

Additional information

• Are you a registered 501(c)(3) non-profit corporation? Non-profit organization? Other service related youth organization? Explain
• Is your request centered on a commitment to teaching (or learning) in one or more of the following disciplines? Check all that apply
• What is your specific request?
• If this is a request for equipment, what will it be used for?
• What money transfer system does your organization prefer?
• Do you agree to follow up with pictures and/or testimonials and information of the impact our Grant has on you or your youth organization?

Picture requirements

• Minimum pictures required: 0
• If you have a picture to share that will help explain what you are requesting, upload it here and provide a title and brief description.