Grant Application Please complete this form and provide the requested information below with your application.Today's Date MM slash DD slash YYYY Is the applying organization a Hollywood Chamber Member?* Yes No Hollywood Chamber Member Since* Organization* Contact Person* Contact Email* Organization Address* Street Address City State ZIP / Postal Code The amount of the grant you are seeking* (Note that the Foundation has a maximum grant level of $2,500)Please describe the purpose of the grant you are seeking. What specific activities, project, or item will the grant fund?*Evidence how your request meets our guidelines.*How many people would be served by the grant received from the Foundation? Explain how they would be served.*List the budget for the specific project for which you are seeking funding.*Describe the standards used to evaluate the success of the project you propose.*If you have received a grant from the Chamber Foundation previously, how was it used, and how was the grant publicized?*How will you publicize receipt of this grant?*Describe the purpose and size of your organization, its long-range objectives and the short-term goals of the project you want funded.*Please upload the following required documents. IRS Determination Letter 501(c)3 which designates your organization as a tax-exempt, public-supported charity organization. Listing of the members of your Board of Directors, including their business, government or education affiliations. Copy of your last complete audited financial statement for grant requests of $1,000 and above (Exceptions may be made for organizations with an annual operating budget of $100,000 and below). Upload Field* Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx, txt, Max. file size: 6 MB, Max. files: 3. 6MB MAX PER FILE - WORD, EXCEL, TEXT, JPG, GIF, PNG, PDF
