Non-Profit Grant Application

Organization Name(Required)

Non-profit Tax ID #(Required)

Contact Name(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

What is your organization's mission?(Required)

What year were you founded?(Required)

Have you ever received a grant from Families for a Cure?(Required)

Please describe the program/need you're applying to fund.(Required)

Which category best describe how this grant request will be used?(Required)

Is this an existing or new program?(Required)

Does this program have a seasonal aspect to it? If yes, please provide details.(Required)

What is the annual cost of this program?(Required)

How much money are you requesting?(Required)

Will you accept less?(Required)

If your organization doesn't receive this grant, what will be the impact?(Required)

17326

Since 2004, we’ve raised more than $1 million dollars that’s been used to fund cancer research and patient care programs.

PO Box 733, Hilliard, OH, 43026
(614) 321-3645