Young-Givers Circle Grant Application

Submit the form to apply for a grant.

Applicant Information
Applicant Full Name
First Last
Applicant Mailing Address
Street Address Address Line 2 City State ZIP Code
Applicant Email Address
Applicant Date of Birth
Month
Day
Year
Non-Profit Information
Non-profit [501 (c) 3] to receive grant
Non-Profit Representative
First Last
Non-Profit Mailing Address
Street Address Address Line 2 City State ZIP Code
Non-Profit Email Address
Non-Profit Phone
Project Information
Give us a short (500 word or less) description of your organization and who you serve?
What is the primary need you intend to meet with this project?
How do you plan to meet this need and what strategies will you use to implement this project?
How is your organization structured to support the execution of those strategies?
How will this project benefit Chattanooga?
How do you plan to use these funds? Please provide a specific budget not to exceed $4,000.
How did you hear about the Young Givers and the Young-Givers Circle?
Signature
I understand that my application may be under considerations by the Young-Givers Circle for the next 6 months.
Applicant Name
First Last
Non-Profit Representative Name
First Last
Date
MM slash DD slash YYYY

345 Frazier Ave., Unit 205
Chattanooga, TN 37405

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