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Community Grant Application
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Applicant Information
First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Street Address
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Your answer
Street Address 2
Your answer
City
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Your answer
Zip
*
Your answer
Project Information
Project Name
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Your answer
Are you requesting the full or partial amount of total project costs?
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Full Amount
Partial Amount
Amount Requested
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Your answer
Purpose and Objective of the Project
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Your answer
Project Description
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Your answer
What type of organization are you?
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Choose
For Profit
Non-Profit (501(c)(3)
Fiscally Sponsored* by nonprofit
Community Organization
Other
What ages will your program impact?
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Choose
0-3
3-6
6-10
10-13
13-15
15-18
None of the above
Expected Results
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Your answer
Describe in detail how your grant will be used
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Your answer
Location (s) where grant will be used
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Your answer
Checkmark the populations your project will support
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Local Indigenous
Unhoused "homeless"
Foster Youth
People of Color
Required
How will your project impact the community at large?
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Your answer
Beginning Date of Project
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MM
/
DD
/
YYYY
End Date of Project
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MM
/
DD
/
YYYY
Age (range) & estimated number of young people who will benefit from this project
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Your answer
Itemized Budget (you may also send a file to team@culinaryaction.org with the subject "Itemized Budget for Grant Application")
*
Your answer
Please provide any comments or additional information that you think we need to evaluate your application below:
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