Let’s work together. Name * First Name Last Name Email * Phone * (###) ### #### What is the mission and primary focus of your organization/business? * How long have you been in operation? * <1 Year 1-2 Years 3-4 Years 5+ Years What is your organizational structure? * Nonprofit For profit Small Business Other What are your primary funding needs? * Program Support Capital Projects Operational Costs Research Other How much funding are you seeking? * Are you looking for local, state, federal, or private grants? * Local Funding State Funding Federal Funding Private Grants Briefly describe the program or project you want to fund. * What is the intended impact or outcome of this project? * Do you have a timeline for when the funds are needed? * Yes No Do you have prior experience applying for or managing grants? Yes No If yes, please describe. Do you have key documents available? * e.g., business plan, financial statements, tax-exempt status, etc. Yes No Are you prepared to track and report on how grant funds are used? * Yes No What are your biggest challenges in the grant-seeking process? Are there any specific funders or grant programs you are targeting? What specific services are you seeking? Grant research, proposal writing, grant strategy, etc. Any other information you’d like us to know? Thank you!
