Required Information Sheet

Instructions:

After you fill out this required Grant information sheet, you may print this document and mail, or fax this information along with the other five required pieces of documentation. You may also attach this Required Information sheet to an e-mail and then mail or fax the other five required pieces of documentation to The Cyrus Eaton Foundation.

___________________________________________________________
Date of Application:

Have you applied to the Foundation before?__yes __no

 

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Organization Name:

___________________________________________________________
Address:

___________________________________________________________
City: State: Zip Code:

___________________________________________________________
Telephone Number: Fax Number: E-Mail:

___________________________________________________________
Person to Contact Regarding this Proposal:

___________________________________________________________
Project Budget:

Amount Requested :

___________________________________________________________
Type of Request:
(please check appropriate category)

__Start-up __ General Support __ Project

___________________________________________________________
Category:
(Check One)

__ Arts __ Conservation __Education
__Health and Welfare __ Public Affairs ___Science

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___________________________________________________________
Total Organization Budget: Budget Last Year:

 

Please provide a summary of your organization’s mission:
(1-3 sentences)

 

 

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Summarize your project or operating request: (1-3 sentences)

 

 

___________________________________________________________
What population do you serve? What geographic focus?
(1-3 sentences)