Grant Application

Women's Club of Newburgh, Inc.

Organization Name

Date

Organization Address

Street Address Line 2

City

Postal / Zip code

Region/State/Province

Organization Website

Organization President/ Executive Director

Email Address

Contact Name (if different)

501 (C) (3)

Yes

Year Established

Total Organizational Budget

Total Number of Voluteers

Total Number of Staff

Home Phone

Cell Phone

Major Source of Funding

Organizational Mission Statement

1000 Character Limit

Brief Description of Organization

500 Character Limit

Population Served

200 Character Limit, Include age groups, race & ethnicities, income level, etc.

Program/Project Name

Total Project Budget

Percent of Total Budget

Grant Period From

Multi-Year Mark Only One

Yes

Grant Period to

Geographical Area Served

Number of Potential Individuals to be affected by the request

How Many in Warrick County

Priortity Funding Areas of Grant Makers

Most Recent Grants Received From This Funder

Amount (1)

Amount (2)

Date (1)

Date (2)

Please read instruction page before submitting

The Women's Club of Newburgh requires that grant recipients send confirmation of allocations. As a condition of each grant, a follow-up report is to be provided by September 1, 2024, as well as, at completion of project.

Your Signature

WCN Member Signature

Select a date

The
Women's
Club
of
Newburgh

Established 1963

Women's Club of Newburgh, Inc.

Grant Application

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