Grant Application

The Vineyard Family Foundation – Grant Application

Upon submitting your grant application, please e-mail your organization’s W-9 and I.R.S. determination letter confirming your organization’s Section 501(c)(3) tax‑exempt or Section 509(a) support organization status to [email protected]. Please place your organization's name in the subject line of the e‑mail. The Foundation will not accept this documentation without a previously submitted application.

Grant Application v3

Date*
MM slash DD slash YYYY
Name of Organization*
Contact Person & Title*
E-mail Address*
Phone*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mission Statement
Identify all officers of your organization’s Board of Directors.*
Purpose of Grant (short summary)
Program Title*
Geographic Area to be Served
Number of Individuals to Be Served
Anticipated Program Duration
Total Program Cost
Date Funds Needed
MM slash DD slash YYYY
Grant Amount Requested
Officer/Supervisor in Charge of Program
Please provide a detailed description of your Program.
Please detail how your organization will assess the effectiveness of your Program.
Estimated Funding for Program from Other Sources (received)
Estimated Funding for Program from Other Sources (pledged)
Estimated Funding for Program from Other Sources (requested)
How Project will be funded in the future
Total Current Assets of Organization (Market Value)
Total Endowment of Organization (Market Value)
Total Expenses in Last 3 Years. Please delineate by fiscal year.
Phone
This field is for validation purposes and should be left unchanged.