EmailThis field is for validation purposes and should be left unchanged.Contact Name First Last Contact Email Nonprofit Requesting FundingWebsiteIs your nonprofit a 501c3?We only support organizations with 501c3 status. Yes No Causes Supported Elderly Care Veterans Medical Research Poverty Alleviation Child Care Disability Support Other Nonprofit InformationExplain the history of the nonprofit, the mission and the population that is served.Nonprofit Goals and ObjectivesExplain the nonprofits goals and objectives and how they will be reached.Need StatementExplain why this support is important to your organization.FundsExplain how the funds will be used.Will a representative be able to attend and speak at our event? Yes No Upload IRS LetterThis is needed to prove your organization is tax-exempt.Max. file size: 1 GB. Captcha Δ