Grants Inner Circle Application
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1. Default Section
1
. What kind of project do you want to fund with a grant?
What kind of project do you want to fund with a grant?
Community Project
Real Estate Project
Business Project
2
. Whom would your project serve?
Whom would your project serve?
Children
Parents
Seniors
Low-Income
Homeless
Business Owners & Clients
3
. Please describe your project or idea.
Please describe your project or idea.
4
. Do you have or do you represent a non-profit organization?
Do you have or do you represent a non-profit organization?
Yes.
No.
I'm interested in creating a non-profit.
5
. How long has your project been in operation?
How long has your project been in operation?
Over 10 years.
Over 5 years.
Over 1 year.
Less than 1 year.
Still in the idea phase.
6
. Have you ever applied for a grant? If so, from whom, and were you successful?
Have you ever applied for a grant? If so, from whom, and were you successful?
7
. How would you describe your level of experience/knowledge about grants?
How would you describe your level of experience/knowledge about grants?
8
. Have you purchased any of our products or services? Which ones?
Have you purchased any of our products or services? Which ones?
9
. Why do you feel we would work together well?
Why do you feel we would work together well?
10
. If you live in the U.S., please provide your contact information here. If you live outside the U.S., please send your contact information to: jillian@GrantMeRich.com.
If you live in the U.S., please provide your contact information here. If you live outside the U.S., please send your contact information to: jillian@GrantMeRich.com.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
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