TLC Kids Fund - Organization Application Form

Organization Application
Date of Application

DayMonthYear
DD/MM/YYYY
Basic Contact Information
Name of Organization
Contact Person
Title
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Organization Profile
Age of Children Served
Charitable Purpose
Primary Geographic Area
How did you hear about the TLC Fund for Kids?
Have you ever received a grant from The TLC Fund before?
Date Applied

MonthDayYear
Date
Purpose of Funding
Today's Application
How much are you applying for today?
What specifically are you requesting funding for?
Funding Request
Who will benefit from this application if successful? Number of children, circumstances and demographics?
How will the recipient(s) benefit? Can you give one or two specific examples of participants, how and why they would use your program or service.
Is this an existing program or a brand-new initiative? please explain -
Financial Background
Please provide a budget for the amount of funding you are requesting
Have you approached other organizations for funding?
If yes, please tell us who you have applied to and for what amount. Has any of this funding been granted?
Have you done any other fundraising?
If yes, please tell us more, how much have you raised and what did you do to raise these funds.
Please provide any additional information you would like us to share with the board in order to inform the decision making process.
Please verify that you are human*
Should be Empty:

Organization Application

Basic Contact Information

Organization Profile

Today's Application

Funding Request

Financial Background