Grant Application Grant Application Personal InformationBusiness Name(Required) EIN #(Required) Name First Last Title Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) PhoneDocument UploadsMission StatementAccepted file types: pdf, doc, docx, Max. file size: 512 MB.PDF or Word DocumentCover LetterAccepted file types: pdf, doc, docx, Max. file size: 512 MB.PDF or Word DocumentProposal NarrativeProposed use of requested funds(Required)Please describe the proposed use of funds in detail. MAFF prefers to donate to a specific project, capital improvement or direct program cost.Targeted population and geographic area to be served by this project/program.(Required)Desired outcomes and plans for achieving them.(Required)Plans for assessing progress toward goals.(Required)Other sources of support committed thus far.(Required)Projected timeline for use of funds. Provide project start and end dates (if applicable).(Required)Part 2: Proposal AttachmentsAttach copies of the following (those which apply to your request): PDF / XLS / WordMost recent financial statement (audited if available)Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 512 MB.Excel, PDF or Word DocumentA current organization operating budget with revenue and expenses.Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 512 MB.If the request is for program support or capital, please include a detailed budget tied to the request. Excel, PDF or Word DocumentIRS determination letter.Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 512 MB.Excel, PDF or Word DocumentIf the organization has a fiscal agent, attach a copy of the letter of agreement between the organization and the fiscal agent and the fiscal agent’s IRS determination letter.Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 512 MB.Excel, PDF or Word DocumentList of current members of the board of directors, including their employment and community affiliations.Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 512 MB.Excel, PDF or Word DocumentCAPTCHA Δ