subject_line
Community Funds Request
Organization Name
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Organization EIN
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Organization type:
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Nonprofit
Public/government
Business/for-profit
Contact Name
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Contact Position/Title
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Contact Email
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Contact phone number
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🛈
Amount of request
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What type of request is this:
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One time
New ongoing
Annual Renewal
Needed by date
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Please describe the project/program/need to be funded. Include applicable information to support the requests including timeline, details surrounding the need/demand, total expense, anticipated impact the funding will make, and other details that may be important for our consideration. Please attach any invoices, estimates, or other documentation that may be helpful:
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How many individuals would this funding support?
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Please indicate any categories this funding would support:
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Cancer
Physical health
Dental health
Mental health
Cognitive health
K-12 students
Older adults
Veterans
Healthcare workers
Uninsured/underinsured/low income
Traditionally underrepresented minorities (describe below)
Traditionally underrepresented minorities (describe below)
Please indicate the geographic area this funding would serve:
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Larimer County
Weld County
Both Larimer and Weld Counties
Is this request also being submitted to other grant organizations?
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Yes
No
Unsure
If yes, to which organizations have you applied?
Who is the vendor?
Proposed purchase date
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Please upload any documents (quotes, receipts, etc.) to support your request.
Signature. I certify that all information is accurate to the best of my knowledge
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clear
Date
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www.mckeefoundation.com
970-667-2575
info@mckeefoundationco.com
