2023 MPF Grantee Application

Mt. Pleasant Fund Initial Application for Funding

Question Title

* 1. The name of your organization:

Question Title

* 2. Is yours an IRS recognized charitable organization?

Yes

No, but we have a fiscal sponsor that is a recognized charity

Question Title

* 3. The individual with whom we should be communicating with regard to your application:

Name

Title

Email Address

Phone Number

Question Title

* 4. The primary location of your organization

Address

City/Town

State/Province

ZIP/Postal Code

Question Title

* 5. Your mailing address (if different from your physical address)

Address

City/Town

State/Province

ZIP/Postal Code

Question Title

* 6. Do you operate from any additional locations? If so, where are they located?

Question Title

* 7. Has your organization applied to us for funding in the last five years? If yes, you may skip to Question #12

Yes

Question Title

* 8. How old is your organization?

More than 25 years

15-25 Years

5-15 years

0-5 years

Question Title

* 9. Please, in less than 100 words, describe the population that directly receives your services:

Question Title

* 10. Please, in 100 words or less, describe the program services that your organization provides:

Question Title

* 11. If your organization has a website, please write the address here:

Question Title

* 12. The amount of your organization's most recently reported annual income:

Question Title

* 13. The percentage of your most recently reported income that came from:

Government Grants

Foundation Grants

Individual Donations

Other Sources