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Company
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News & Insights
Grants
Contact
Application
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Organization Name
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Street Address
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City
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State
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Phone
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Email
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Name/title of contact person:
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Name/title of person completing this form:
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Specific purpose of organization
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Area Served
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Inception Date of Organization
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Funds to be used for
Funds to be used for
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Operating
Capital
Special
Other
Description Of Request
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Total Cost of Project/Program
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Total Funding Required
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Amount Requested from The Joshua Green Foundation
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Number of people to benefit from this Project/Program
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Please state how you will evaluate the success/outcome of this program/project
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Starting Date of Program/Project
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Completion Date
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List application sent to other corporations and foundations of $5,000 or more which pertain to this program/project. Please include the date, amount, corpororation or foundation, the amount requested and the amount received.
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Please list any contingencies or conditions to any grant?
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Does your organization receive support from:
If you receive support from United Way, have you informed them of your intentions to solicit funds from other corporations and foundations for this program/project?
United Way
If you receive support from United Way, have you informed them of your intentions to solicit funds from other corporations and foundations for this program/project?
If you receive support from United Way, have you informed them of your intentions to solicit funds from other corporations and foundations for this program/project?
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Yes
No
Please list board members, including the number of years they have served.
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Has the Board of Directors approved this request?
Has the Board of Directors approved this request?
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Yes
No
Frequency of Board Meetings
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% Attendance
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experience. of List
List standing committees
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How many volunteers are involved with your organization?
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Briefly describe how volunteers are involved with your organization.
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How many staff are paid? List numbers for full time and part time.
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Brief description of Executive Director’s experience.
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Upload Documents
Upload Documents
Click or drag files to this area to upload.
You can upload up to 5 files.
NOTE: Please include one copy of your IRS letter confirming tax‑exempt status
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