Grant Application « Reading, PA Love

Your Full Name

Your Email Address

Organization Name

Proposal Summary

Organization's Non-Profit or IRS 501(c)(3)

Organization's Current Annual Budget

Project Budget

Annual Audit or 990 (if applicable)

List of Board of Directors and Current supporters (if applicable)

If there is anything outside the Proposal Summary that you feel the need to share with the committee, please do so here:

On behalf of my organization, identified above, I affirm that our organization does not discriminate against any population on the basis of race, color, creed, religion, sex, national origin, age, disability, sexual orientation, genetic predisposition or carrier status; veteran or marital status.

I have read and I agree to the non-discrimination policy above.