Grant Writing Assistance Application Form

Legal Name of Organization*
Tax Exempt EIN*
Year Founded*
Current Annual Operation Budget*
Executive Director*
Contact Person (If different from Executive Director)*
Email*
Street Address*
City, State, Zip*
Phone
Type of Grant your Organization is Pursuing:*
- Federal
- State
- Private
When was the last time your received grant writing application assistance from Impact Alamance?
Name of Organization Releasing RFP / Grant Application*
Due Date of Grant*
Website of RFP
Amount of Funding Requested (Must be $50,000 or more)*
Please enter a number greater than or equal to 50000.
Please describe the purpose of this grant.*
How will this funding benefit Alamance County residents and families?*
What need is being addressed in Alamance County?*
Would this funding create a new program or expand existing resources?*
Does this funding require matching dollars or in-kind donations?*
We will review your application and contact you as soon as possible. Requests are handled on a first come, first served basis. Please leave in additonal notes in this field.
Upload a copy of your current Solicitation License or your Letter of Exemption here.*
Max. file size: 50 MB.