Organization Name*Is the organization a 501-C3?* Yes NoFed ID #*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Contact Name* First Last Contact Title*Contact Phone*Contact Email* Website*Project InformationProject Title*Location of Project*Dates of Project*Expected Number of Participants*Target Population*Total Project Budget (In US Dollars)*Amount of Grant Request (up to $2500)*Which fund are you applying for?* Mary Porter Wise Outreach Fund - for the education of children and youth Margie Berry Scholarship Fund - for the education of migrant women Mission and Outreach Fund - all other funding requestsHave you submitted grant requests to Gables UCC before?* Yes NoHas Gables UCC funded any of your programs before?* Yes NoPlease tell us which program.*Organizational DescriptionMission Statement*Organizational History*Project Description Please tell us about the project to be considered for financial support. (no more than three pages). A) Community Need B) Describe the Project goals and outcomes. C) Detail how the grant money will be used. D) Describe the impact of the project.Upload your project description file.*Max. file size: 256 MB.Please attach a Financial Statement or your 501-c3 Form to each application*Max. file size: 256 MB.Application Digital Signature* First Last Today's Date* MM slash DD slash YYYY
