DCP Grant Application

Organization's Name *

Organization Address *

Address Line 1

Address Line 2

City

State

Zip Code

Website / URL

Primary Contact Name *

First

Last

Primary Contact Title *

Primary Contact Phone *

Primary Contact Email *

Organization Mission *

Project Title *

Purpose of Funding. Include Amount requested and how funds will be used. *

Project Description and Benefits to the community. *

What phase is this project in? *

Total Annual Budget *

Total Project Budget *

File Upload: Project Budget

File Upload: Copy of IRS Determination Letter *

File Upload: Board of Directors List

Website