Funding Request Application Process

To apply for funding, please follow these steps:

Step 1: Click here to review our Funding Request Guidelines

Step 2: Fill out and submit the form below:

Is this your...

Initial Application
Resubmission
Renewal

Organization Information

Name of Organization

Charitable Registration #

AGLC #

Website

Address



Contact Information

Primary Contact

Position in Organization

Email


Phone

Fax


About the Organization

Mandate of Organization

600 charecters left

Project Information

$ Amount Requested

Description of Project and Use of Funds

1200 charecters left

Use of Requested Funds

Please provide a budget for the proposed use of the requested funds. Include cost of therapy, food, supplies, equipment, programs etc.

Use of Funds

Cost $ Amount







Additional Information

Other Contributors to this Project

Anticipated Impact and General Comments

Indicate if you wish to use the funds for BFK and/or Giving Tuesday. CHAS will send appropriate documentation to successful applicants.

600 charecters left

Attachments

Please attach Annual Report or Financial Statements and any other relevant documents.
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