New Project Request Please enable JavaScript in your browser to complete this form.About Your OrganizationContact Person NameFirstLastContact Person TitleOrganization NamePhysical AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you use a different mailing address? YesNoMailing AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeContact NumberEmailWebsite / URLPlease Tell Us About The Project That We Are Adding/UpdatingProject NameProject DescriptionDescribe the project's target population (if applicable)Project Status New projectExisting projectProject Start Date Project Duration This project operates year-roundThis project is a pilot or seasonalProject End Date Is the project address the same as the Organization's address? YesNoProject AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWhat are the hours of operation for this project?What geographical area is served by this project?Is there a fee associated with this project? If yes, please explain.Please list your top 3 goals for this programProject BudgetWhat is the total budget (amount) for this project? If you are unsure, please estimate.Let's get specific. We'll need to know your project expenses. Please email me a budget templateI'll list my expenses hereList all costs associated with this project. (e.g. rent $750, salaries $35,000, supplies $1,500, etc.)How much are you seeking in grants for this project? (*Unless otherwise promised, Dewlyn Nonprofit Services will not seek funding exceeding $250,000)What is the purpose of this request (e.g. specifically how will funds be used)?What other sources of income/funding does this project have? (list donor name and amounts given)Additional information about the program?EmailSubmit
