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properly handle your request.
1.
Please provide the following contact
information about yourself.
Your Name
Your Organization
Street
City
State
ZIP
Phone
Email
Desired delivery method for search results:
Email
Fax
U.S. Mail
Method of payment:
Check
Credit Card
Just looking for a
price quote
2.
Information about the organization seeking
funding.
Name
Web Site URL
Describe the geographic areas this program serves. Fill in all that
apply.
City
County
State
Region
National
yes
no
International (list countries)
3.
IRS 501(c)(3) Status.
Does this organization have IRS 501(c)(3) status?
yes
no
Or does it have a fiscal sponsor with 501(c)(3) status?
yes
no
not
applicable
4.
What type of funding are you looking for? Please select
all that apply
(Hold Control and click the mouse to make
each selection)
5.
Please write a short version of your mission statement
6.
In the search, please include
only funders who will
accept applications (recommended)
all funders, even those
who say they will not accept unsolicited applications
7.
Select the keywords that describe your program. You may
select as many keywords as needed.
Medical Research Keywords
(Hold Control and click the mouse to make
each selection)
8.
What other characteristics or keywords not listed above describe
your organization or program?
9.
List some common activities of the program you want to fund, such
as well-baby checkups, after-school tutoring, delivering meals to
seniors, etc.
