*Important* You must register before you start the form in order to save your progress. You may lose all progress if you attempt to register after you have filled out the form. Login or Register to save your progress or resume a saved form. Online Grant Application If you are a human and are seeing this field, please leave it blank. Username Password Reset Password (Opens in a new window) Username Email Address Password Re-enter Password 4 + 9 = Fields marked with a * are required GENERAL INFORMATION Project Title: * Organization: * Contact Person: * Title: * Address: * City: * State: * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code: * Phone: * Fax: Email: * Website: INFORMATION ABOUT THE REQUEST Date of Application: * Amount Requested ($): * Type of Support Requested: Project Capacity Building Emergency Other (Explain) Other (Explain) ORGANIZATIONAL INFORMATION: Organization EIN: * When was the organization founded? Number of Full-time Paid Staff: Number of Part-time Paid Staff: Number of Board Members: Number of Volunteers: FINANCIAL INFORMATION: Total Expenses Budgeted for the Project ($): * PLEASE SUBMIT THE FOLLOWING DOCUMENTS WITH YOUR APPLICATION: - Full Descriptive Proposal that includes the following: Organization’s mission and an overview of the organization’s projects A Description of the Project That Funding is Requested, which includes: Overview (maximum 500 words) How this project fits your mission and the Forever Pink Foundation’s mission (maximum 300 words) Grant goals (maximum 300 words) Implementation plan to achieve the goals (maximum 500 words) How will the success of this project be measured and what are the desired results and impact on the community? (maximum 500 words) List of Partners that are also working on the same issues and how you are coordinating with them. The plan for sustainability of the project at the end of funding from the FPF. - List of principal staff that will be working on the project and their qualifications. - How many people will be served by this project? - What are the demographics and the target population to be served? - Financial statements, to include: An itemized project budget - List of board members. - List of grant funding history. - A copy of the IRS letter 501(c)(3) non-profit status determination letter. Please provide any additional supporting documentation. Comments: For security purposes, please enter the following text in the field below: F Pi TR a 1z *
