Grant Application

Note: All fields are required.

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Grant Deadlines: March 1 and September 1

REMINDER: We only provide funds to organizations that support Alamosa, Baca, Bent, Chaffee, Conejos, Costilla, Crowley, Custer, Fremont, Huerfano, Kiowa, Las Animas, Mineral, Otero, Prowers, Pueblo, Rio Grande, and Saguache counties. Applications outside of these counties may not be accepted for review.

Date of Request*

Grant Fund*

Name of Organization*

What is the mission of the organization?*

Address*

Street Address Address Line 2 City State ZIP Code

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Zip Code

Phone*

Email*

Contact Person*

First Last

EIN Number*

i.e. 121231234 not 12-1231234. Do not include the -.

Are You a 501(c)(3) Organization?*

Yes, I am a 501(c)(3) organization

No, I am not a 501(c)(3) organization

Amount Requested*

When Are Funds Needed?*

Describe the planned use of the requested funds*

What other source of funding will be used to fund this project?*

How many people will be involved in the proposed project?*

How many people will be involved in the proposed project continued…

Please use this space if you need more than the above line provides.

How will they be involved?*

Would you be willing to report in person to the SCCF Board concerning this request if asked to do so?*

Yes, I would report to the SCCF Board

No, I would not report to the SCCF Board

Required Documents

Please note that documents do not save when using the Save & Continue feature. Upload your documents when you are ready to fully submit your grant request.

1. A budget for the proposed project is required. Please include with your application.

Upload your budget document (Maximum file size 2MB)*

Accepted file types: jpg, pdf, doc, docx, odf, xls, Max. file size: 256 MB.

2. A Completed W-9 form is required. Please upload and include it with your application.

Upload W-9 Form (Maximum File Size 2MB)*

Download W-9 Form PDF

Accepted file types: pdf, Max. file size: 5 MB.

We no longer accept print applications. Please submit this completed form for review by our grant committee. A copy of your application will be emailed to you after submission.