Application Form

Please read the guidelines in the How to Apply section carefully prior to completing the form.

The * denotes a mandatory field.

Name of the Organization

Address

City

Zip Code

State

Country

Telephone 1

(Please include country/area code)

Telephone 2

(Please include country/area code)

E-mail address

Website

Contact Person Name

Contact Person Surname

Position

Background Information of the Organization

– (up to 3,000 characters)

Please consider including the organization’s year of establishment, primary goals and activities, number of personnel and volunteers and the beneficiary groups.

Budget for Current Year and Most Recent Year’s Revenues and Expenses

Year

Revenues

Expenses

Currency

Major Sources of Income

* Please indicate percentages of income derived from government, corporations, foundations and/or individuals.

Grant Request

– (up to 3,000 characters)

*Please consider including the purpose, beneficiaries, project location, and timetable.

Requested Amount

Currency

In case there is further interest in your request by the Foundation, you will be required to submit more information about this request, as well as additional official documents related to the operation and finances of your organization.
If you have any questions or comments, please contact directly our website team by email to:

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