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Grant Submissions
Grant Requests
Note:
All fields are required.
Grant Application
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
*
MM slash DD slash YYYY
Grant Fund
*
Select Your Grant Fund
Community Fund
Chamberlain Fund
Kerr Foundation
Name of Organization
*
What is the mission of the organization?
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
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?
*
Month
Day
Year
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
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: 2 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.
Name
This field is for validation purposes and should be left unchanged.