Beneficiary Designation

Submit an application form by September 1.

Name of Organization (required)

Address (required)

Phone # (required)

Email Address (required)

Contact Person (required)

Legal Status (required)

Establishment Date (required)

Tax Status (required)

Service Area (required)

Mission/Purpose (required)

Justification for Funding Request (required)

Explanation of Use of Funds (required)

Upload your letter

Download the application form