Grant Request

September 24th, 2009 Posted 11:15 PM -0400 by zacamjo

In order for your 501 (c) (3) organization to be eligible for funding from STARS, please fill out the following form. STARS will keep this form on file and, when funds become available in your area, you will be contacted with an official RFP. Thank you for your interest and your mission!

Submission Date:

Applicant Organization: *

Please supply your organization's full name.

Mailing Address: *

Telephone Number: *

Enter the full phone number, including the area code.

Federal ID Number: *

Please supply the Federal ID Number for your organization.

Mission Statement: *

Please supply the mission statement of your organization.

Executive Director: *

Please supply the full name of your organization's executive director.

Contact Person/Title: *

Please supply the organization's contact person as well as their title.

Email Address: *

Please supply the contact person's email address.

Target Population: *

Please explain the Target Population served by your organization.

Caseload: *

Please supply the number of persons served/to be served.

Amount Requested/Purpose: *

Please provide the specific dollar amount you're requesting, and the intended purpose of it's use.

Total Organization Budget: * $

Please supply a specific dollar amount indicating your organization's total budget for the current fiscal year (also provide the start and end dates for your organization's fiscal year).

Total Project Budget: * $

If applicable, please provide your total budget for this project.

Primary Menu

Grant Request

Now Available!

Every Search Helps!

TWITTER UPDATES

from Liz Seccuro