304 Nelson St.

Cambridge, NE 69022 

www.sfffoundation.com

GRANT APPLICATION

APPLICANT: ________________________________________     Federal ID#__________________________

        (Name of Organization as registered with IRS)

ADDRESS:_______________________________________________________________________________

                          (Street)                                      (City)                           (State)                             (Zip Code)

EXECUTIVE CONTACT:_____________________________________________________________________

                                           (Name)                            (Title)                                        (Phone Number)

PRINCIPAL PURPOSE OF ORGANIZATION:

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PROPOSED USE OF FUNDS APPLIED FOR (Be Specific):________________________________________

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TOTAL COST OF PROJECT                                                    $______________________________

FUNDS AVAILABLE AND/OR PLEDGES RECEIVED            $______________________________

AMOUNT OF THIS REQUEST                                                 $______________________________

BALANCE REQUIRED TO TOTALLY FUND PROJECT         $ ______________________________

ANTICIPATED SOURCE OF BALANCE REQUIRED TO COMPLETE PROJECT: 

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AMOUNT OF LOCAL OR ORGANIZATIONAL SUPPORT:

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HOW DOES THIS REQUEST ADVANCE THE MISSION OF THIS FOUNDATION AS STATED IN THE “POLICIES OF THE FOUNDATION”?

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                           _______________________________________________________________

                                    (Name of Applicant)

                            BY:__________________________________________________

                            TITLE:_______________________________________________

                            DATE:_______________________________________________