Tell Us About Your Program

Do you have a program that improves Summit County’s quality of life? Are you in need of financial, technical or intellectual resources to make it successful? Let us help you find the right competitive grant programs, community resources, and opportunities for collaboration so you can fully realize your charitable mission in Summit County.

First Name*
Last Name*
Email*
Organization*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Website
Is your organization a 501(c)(3) public charity?
- Yes
- No
If no, please provide the name of your fiscal agent
Employer Identification Number (EIN) from your IRS determination letter
Year your organization was established
Annual operating budget
Project budget (if applicable)
Geographic area served
Grant request amount*
Funding cycle you plan to apply for*
What is the community need your project addresses?
What will be different in the community as a result of your project?
What are the potential barriers to meeting this need?
Funders and/or other grants that are supporting your project, including local, state and federal funding sources
Total annual dollars received from other sources to support this project
Does your project require any non-financial resources? (e.g. training, facilities, volunteers, etc.)
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