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Organizational Grant
To seek assistance from Mother’s Grace, complete the form below.
FOR ORGANIZATIONAL GRANTS
Organization Name:
(Required)
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Main Phone Number:
(Required)
Cell Phone Number (if different from Main Number):
Email Address:
(Required)
Enter Email
Confirm Email
Name of Organizational Contact
(Required)
First
Last
Their Main Phone Number:
(Required)
Their Cell Phone Number (if different from Main Number)
Their Email Address:
(Required)
Enter Email
Confirm Email
Brief description of the goals and objectives of the proposed organization:
(Required)
Is the Organization a 501(c)(3) Nonprofit Organization?
(Required)
Yes
No
What are your regular sources of income?
(Required)
Specifically describe the resources being requested to implement the described project:
(Required)
Describe the proposed project for which you desire a grant from Mother's Grace:
(Required)
Name
This field is for validation purposes and should be left unchanged.