Application

Name of Organization:(Required)

EIN:(Required)

Title of Contact Person:(Required)

Email Address:(Required)

Alternate Contact Person's Email:

Telephone Number:(Required)

Website:

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OLD FIELD NOT USED Website:

If yes, please list the month and year of any grants that you have previously received from Strowd Roses in the past three (3) calendar years.(Required)

Please upload a copy of your 501(c)(3) determination letter.(Required)

Max. file size: 50 MB.

4) What is the community need or needs that your organization addresses?(Required)

5) How many residents of Chapel Hill and Carrboro does your organization serve, or hope to serve?(Required)

6) If your organization serves more people than just residents of Chapel Hill and Carrboro, please note how many total people your organization serves.(Required)

7) Please share some brief examples of the positive impact in Chapel Hill and the surrounding community that your work has had.(Required)

Please note that this question is asking about your overall organizational impact in the community historically, not what you have done with any Strowd Roses funding you may have received in the past. If you are a new organization without a track record yet, please explain what community connections you have that will benefit your work in the community.

8) Please briefly describe what positive impact you hope your work will have on Chapel Hill and the surrounding community in the upcoming year and what impact funding from Strowd Roses would have.(Required)

9) Please describe what other organizations (if any) have similar missions that serve the Chapel Hill-Carrboro community and whether and how you collaborate with them (if at all).

10) Please upload a copy of your organizational budget for the current fiscal year.(Required)

Max. file size: 50 MB.

If yes, please upload your most recent 990 or 990-EZ(Required)

Max. file size: 50 MB.

If no, why is your organization exempt?(Required)

13) Please list your board members and where they are located (city, state)(Required)

Grant Award Application