Letter of Inquiry

Name of Organization *

Legal name of not-for-profit *

Tax ID Number *

Main office address *

Main office address

Address 1

Address 2

City

State/Province

Zip/Postal

Main office phone number *

Website URL *

Primary Contact *

Title *

Phone *

Email *

Grant amount requested *

Project name or title *

1. Please describe the program for which you are seeking funding. Include scope of project, targeted population, length of program, and program rationale. *

Please limit to 200 words

2. If you are applying to serve an underserved or low-resource community, for which underserved or low-resource community is the program intended? *

Please limit to 100 words

3. Please provide an organizational background, including mission, objectives, history and how the program for which you are seeking funding fits within the organization’s mission. *

Please limit to 150 words

4. How is this program innovative? In what way, if any, does the program change a system of service delivery? *

Please limit to 150 words