Application Questions
Name of Project
Name of Sponsoring Agency
Contact Person
Full Address (Street, City, State, Zip Code)
Phone Number
Email Address
TIN (Tax Identification Number)
Brief Description of Project
What pressing need will this project meet?
Is this a new project?
If not new, how was it previously funded?
Have you solicited this grant request from other charitable foundations?
If yes, which foundations?
Number of women, children, or families served annually
Ages of individuals served
Eligibility criteria for participation (if applicable)
If applicable, please specify eligibility criteria
Time period covered by this project
Total project budget
Amount requested from CLARA FAIRBANKS FOUNDATION, INC.
How will the remaining budget be raised?
If multi-year project, how will it be funded in future years?
Description of how project success will be measured
Upload: recent financial statement for the agency
Upload: IRS determination letter (proof of nonprofit status)