Welcome to the AAW Foundation Online Grant Application

Full Legal Organization Name:
Street Address:
City/Town:
State
Zip
Website:

President/Exec. Dir.:
Title:
Phone #:
Email Address:
Contact (If Different):
Contact's Title:
Contact's Phone:
Contact's Email:

Organizational Information

501(c)(3)?
Yes No 		If Yes, FIN #:
Year Established:
If No, provide name and address of fiscal sponsor:
Total Organization Budget:
Fiscal Year: (mm/dd)
Total # of Board Members:
Total # of Board Staff:
Total # of Volunteers:
Organizational Mission Statement:
Brief Description of Organization:
Population Served (include age groups, race & ethnicity, income levels, etc.):
Organizational Goals:

Proposal Request:

Project Name:
Total Budget:
Requested Amount:
Percentage of Total:
Geographic Area Served:
Priority funding areas of grant maker:
(indicate how your request fits within the grant maker's strategic interest[s])

Most recent grants from this funder:
Amount:
$ 		Date (mm/dd/yyyy):
Amount:
$ 		Date (mm/dd/yyyy):
I hereby verify that the information provided is accurate and honest to the best of my knowledge. I certify that I am authorized to submit this request and that the electronic signature below is my own.

Initials of authorized representative of your organization:

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