Request a Grant - Cloudsplitter

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Your submitted requests will reviewed by the Board during our April, July, October or December meetings.

Request a Grant

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Submit your request to us via email.

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In urgent need of a grant? We’re here to take your call and work with you to get your request approved quickly.

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Submit Your Grant Request

Please use the form below to submit your grant request. If you need assistance filling out this form, please contact Chenelle directly at 518-992-4900.

Applicant Information

Organization Name(Required)

Requestor Name(Required)

First Last

Brief Description of Organization and Mission(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Officer (title, phone, email)(Required)

Contact if different (title, phone, email)

Is your organization a 501c3?(Required)

Yes

Number of Board Members - Staff(Required)

Number of Board Members - Volunteers(Required)

Non-grant funding sources

Non-grant funding as % of budget

Fiscal sponsor name, if any

Grant Request Information

Type of grant requested(Required)

Project

Mission Support

Emergency Support

Project Budget(Required)

Organization Budget(Required)

Total Needed(Required)

Amount requested(Required)

Project timeline

Grant Name(Required)

Grant Purpose(Required)

Your “one-liner"

Application Narrative(Required)

Please summarize your need, how grant dollars would be used, who would benefit (with as much demographic info as you can provide), and anything that would help a funder understand what you hope to accomplish and how.

Other relevant grants received or applied for(Required)

Grant requested from, Date, Amount, Type (Matching, State, Federal, Individual), Award (Y/N/Pending)

In kind or other matching funds

Explain please

May we share this application with other potential funders(Required)

Yes

Organization directors and officers with title(Required)

List below or provide a link to organizations website with directors and officers listed.

Financial statements(Required)

Please upload current operating statements (sources and uses of funds), balance sheet, and one-page annual budget

Max. file size: 20 MB.

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Signature and date(Required)

Phone

This field is for validation purposes and should be left unchanged.