Elizabeth Callender King Foundation Request a Grant

Please review the grant information prior to completing and submitting this form.

Note: an asterisk * denotes a required field.

Grant Submission Form

Project Information

Enter the details of your project below.

Project Name*

Organization Name*

Purpose & Goals*

Please describe in detail the purpose and overall goals of your project.

Estimated Impact*

Give an estimate of the number of individuals who benefit from your project.

Benefits*

What are the benefits to the individuals, organization and/or community?

Anticipated Date of Completion*

Project Type

One Time Project

Annual Project

Project Expenses*

Please itemize the projected expenses and then provide the total cost for the project.

Total Projected Cost*

Other Sources of Income*

List your other expected sources of income (such as other foundations, clubs, individuals, etc.). Please indicate the source(s) and the anticipated amount(s).

Current Amount Secured*

List sources and amounts already committed.

Total Amount Requested*

Please enter the TOTAL amount you are requesting from our foundation.

Specific Expenditures*

List specific expenditures to be made of funds granted by the Foundation.

Contact Information

Person(s) requesting the grant*

Enter all individuals who are requesting this grant.

Primary Contact Address*

Primary Contact Phone Number*

Primary Contact E-mail Address*

Organization Information

You must submit a copy of your IRS Determination Letter demonstrating tax-exempt status, and a current financial statement of the organization. You may upload those documents below, or if you are unable to do so, you may mail them to the Foundation.

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Officers and Board Members

Provide the names of your organizations officers and board members.

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Request a Grant

Grant Submission Form

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