Grant Application Form

Amount Requested: $

Brief Overview of Project Proposal

Organizational Information

Organization Name

Address

Phone Fax

Email

Executive Director Phone

Contact Person Phone

Number of Paid Staff Number of Volunteers

501C3 Status (verification may be required) or EIN#

Details of Grant Request

Mission - Outline of project and benefit to communities

Fund Use Details - ie, Capital Improvements, Operating, Salaries etc

Timetable - Where does the grant fall in your overall timeline?

Other Funding Sources (sources, amounts, date recieved or expected)

In what ways does this project meet the specifics of the
Eagle River Foundation mission statement?

How will this project be evaluated for effectiveness? What are the criteria for success?

EAGLE RIVER FOUNDATION • P.O. Box 487, Eagle, Colorado 81631 • Email Eagle River Foundation