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Grant Application

Organization Information
Legal Name of Organization:
501c3 Number (please do not include any spaces or dashes):
Year Founded:
Are you a United Way Agency?
Current Year Operating Budget $:
Mission Statement: (200 character limit)
Project Information
Project Name:
Project Description: (450 character limit)
Project Start Date:
MM slash DD slash YYYY
Project End Date:
MM slash DD slash YYYY
Geographic Area Served:
Target Age:
Target Gender:
Target Ethnicity:
Funding Information
Have you previously received help from the Keller Foundation?
Total Project Cost:
Amount Requested:
Disbursement:
for
Major Funding For This Project
Frey Foundation
Amount Requested
Amount Committed
Amount Received
In Kind?
- Yes
Grand Rapids Foundation
Amount Requested
Amount Committed
Amount Received
In Kind?
- Yes
Steelcase Foundation
Amount Requested
Amount Committed
Amount Received
In Kind?
- Yes
Other Organization 1:
Amount Requested
Amount Committed
Amount Received
In Kind?
- Yes
Other Organization 2:
Amount Requested
Amount Committed
Amount Received
In Kind?
- Yes
Other Organization 3:
Amount Requested
Amount Committed
Amount Received
In Kind?
- Yes
Contact Information
Executive Director / Chief Operating Officer:
Application Completed By:
Administrative Office Information
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone (Including Area Code):
Fax (Including Area Code):
Email
Website
Attachments and Methods of Transmission
Mark all that apply
- Copy of 501(c)3 tax status (required)
- Brief cover letter introducing your organization
- List of board directors
- Additional information or support documentation that will help in the decision process
Documents sent via:
- U.S. Post to: Keller Foundation 5225 33rd St. SE., Grand Rapids, MI 49512
- Email to: zelene@kellerfoundation.org
Name
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The Keller Foundation has a key interest in supporting programs and services for children and families living in the community around the Martin Luther King Jr. Leadership Academy. However, the Keller Foundation is not limited to donations in this geographical area. Click Here

Contact Information

The Keller Foundation
5225 33rd Street S.E.
Grand Rapids, MI 49512
Zelene Wilkins, Executive Director

© Copyright 2015 :: The Keller Foundation :: 5225 33rd Street S.E. Grand Rapids, MI 49512