Reference for
Online Application


These questions are asked on the online application. Please print this page for reference in gathering your information.

Cover Sheet

Date of application
Name of organization to which grant would be paid
Project name:
(short one sentence title)
Street address of organization:
City:
State:
Zip code:
Telephone number:
Fax:
E-mail:
WWW Address
General Contact
-- your name
Prefix Mr./Ms./Dr./etc.
First name:
Last name:
Title Executive Director, Development Officer, etc.
Your phone number
Your E-mail
Is your organization an IRS 501(c)(3) not-for-profit? Or, are you a recognized tax-exempt organization seeking support for charitable purposes
(e.g school district, U.S. government agency or tribal government)?
Specifically, which type of organization are you?  Non-profit, school district, U.S. government agency or tribal government.

Charity Federal Tax ID
(we will verify this number against the charity database at the IRS)

Proposal Summary

The Charlotte Martin Foundation focuses on two program areas, Youth (through Athletics, Culture and Education) and Wildlife and Habitat.  For category descriptions and limitations, check the website under Program Areas and FAQ and select one.

Project Objective and Description

Project timeline

Project staff

How will this project be sustained over time?

Why is this project important to your organization?

Budget Information


You may also attach a budget in Excel format at the end of the application, on page 5.

Amount you are requesting from the Charlotte Martin Foundation (in dollars)
Total project budget (if requesting project support)
Project Budget Detail (you may enter a short budget information here if you do not have a budget to attach)

Total organizational budget: (for the current year)

Project Information


Sources of funding received over past 3 years for this and other projects. Please specify.

Other sources of funding you are seeking for this proposal.

Explain how you will measure the effectiveness of your project.
Describe your criteria for a successful program and the results you expect to have achieved by the end of the funding period.

Describe community support for this project.

Organization


Mission statement of your organization.

A brief history of your organization.

Age Group your organization serves.  
We do not fund preschool. Athletics, culture and education projects must serve youth ages 6 through 21. The Wildlife and Habitat category has no age restrictions.

Geographic Area Served (we fund in Washington, Oregon, Idaho, Montana and Alaska)

Give brief examples of past work/projects of your organization.



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Email:  info@charlottemartin.org
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