Grant Application Form

Grant requests to the Ed Haggar Family Foundation are by invitation only. If you have been invited to submit an application, please complete the form below, and attach all related documents.

Fields marked with an asterisk* are required

ORGANIZATION

Name of the Board Member who invited you to submit an application*

Legal Name of Organization*

Type of Organization EducationHealthOther

If other, describe briefly

EIN Number*

CONTACT INFORMATION

Mailing Address | City ST Zip*

Organization Phone

Organization Website

President / CEO / Director Name

Phone Number

Email

Report Contact and Title*

Phone Number

Email

GRANT DESCRIPTION

Type of Grant*: ScholarshipProgramCapitalOther
If Other, please describe:

Program / Project Name

Summary of Grant Purpose

Please supply the answers to one of the following questions to assist the board with the grant selections for this year.

If the requested grant is for your organization to distribute scholarships, please list the criteria for selection of candidates, the amount awarded each candidate and the number of candidates that applied this year.*

For capital grants, please provide details as to how specifically this grant will be used. Include financial details, how far along in the campaign and what is the expected completion date, etc.?*

SUPPLEMENTARY FILES

Attach any documents you wish to include with your application

SIGNATURE

Name of person submitting application*
PresidentCEODirector

Email of person submitting application*

Date

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