Advancing Lives Grant Application

Please review the funding priorities, eligibility requirements, and grant application process prior to completing the application. This information can be found at

Contact Information

Please use your organization's address, phone, and email when filling out the fields below. If you are an individual that is not representing a non-profit organization, please return to the grant application page and complete the individual grant application. 


The contact information provided in this section will be considerred the main point of contact for your organization.

Organization Name*
Confirm Email*

Grant Application

Please complete all fields below. Contact with questions.

Name of Program/Project *
Amount Requested (Numeric; Maximum $10,000)*
Executive Director First Name
Executive Director Last Name
Executive Director Email
Executive summary of the program/project (limit 500 words):*
Who will your program/project directly impact?*
How will your program/project benefit your community (limit 500 words)?*
Please list all communities your program/project serves:*
How will you measure the success of this program/project? *
How will you use the funds? *
Project Start Date (mm/dd/yyyy)
Project End Date (mm/dd/yyyy)
Program/Project Budget - Provide current fiscal year revenues and expenses for the project/program.*
What are your organization's strengths related to this program/project (limit 500 words)?*
List other organizations you're partnering with for this program/project:
Are there opportunities for Advia employees to volunteer with your program or organization?
Organizations must have one staff, volunteer, or board member who is a member of Advia Credit Union to be eligible for the grant. Please list one or more individuals in the box along with their role within the organization.*
Additional Comments


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