Letter of Inquiry Form

"*" indicates required fields

Step 1 of 2

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Please enter your name:*

First Last

Referred by:*

Please enter your email:*

Your organization's name:*

Your organization's address:*

Street Address City State ZIP Code

Your organization's phone number:*

Your organization's website:*

Please provide the name of the person of primary contact:*

Please provide this person's title:*

Please provide this person's email:*

Please provide this person's phone number:*

State your organization's budget for this fiscal year:*

State your organization's number of employees:

State the number of volunteers at your organization:

How many people does your organization serve annually?

What are the demographics of the people your organization serves?

Please provide your organization's Mission Statement:

Please provide a brief history of your organization:

We value brevity. Please provide no more than five sentences for this prompt.

Please explain what your organization does:*

Please keep your answer within five sentences of length.

What services/programs does your organization offer?*

Early Childhood Education

K-12 Education

Adult Education

After School or Summer Programs

Social Services

Healthcare

Services for People with Disabilities

Senior Services

Arts/Culture

Job Readiness/Employment

Please select all that apply.

If the above checklist does not contain an applicable category, please provide your own category of services/programs:

Are you more interested in receiving funding for a particular program, or general operating support?

Program Support

General Operating Cost Support

Explain which program you are interested in funding for, and why:

Please attach your 501C3 Tax Designation Letter:*

Max. file size: 100 MB.

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