Blackbaud Indianapolis Fund Grant Application - Online

Requests will be reviewed on a quarterly basis by the trustees of the Blackbaud Indianapolis Fund and awards will be granted at the discretion of the trustees. The Blackbaud Indianapolis Fund will consider grant requests from $100 to $1000.

Today's Date

Dates of Prior Submissions:

Organization Contact Information

Organization Name:

Mailing Address:

Phone:

Fax:

Website:

Executive Director or Authorizing Official:

Grant Contact:

Title:

Phone:

Fax:

Email:

Board Chair:

Phone:

Organization Summary

Is your organization and IRS designated 501(c)(3) organization?:

Yes

Please provide your nonprofit ID number:

Year that your organization was established:

Total annual organization budget for last 3 years:

Surplus or deficit in last 3 years?:

Organization Mission:

Primary services of the organization:

Grant Request Information

Is the grant request for a new project or program?:

Yes

Name of the Foundation Staff, Donor Advisor, or Board Member, you may have spoken with:

What is your request to the foundation? ($100 - $1000):

Briefly describe the purpose of the request and the proposed activities for which you are seeking:

A brief description of the target population that you intend to serve with this grant (demographics, number to be served):

Geographic area of the target population:

Total cost for proposed project:

Total dollars committed to date for the proposed project:

Request to the Blackbaud Indianapolis Fund as a percent of total cost:

List the major cash (with amounts) or in-kind services already secured/committed for the proposed project:

How will the project sustain itself in subsequent years?:

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Blackbaud Indianapolis Fund Grant Application - Online