Mary's Pence Grant Application

Part 1 of 4 - Organization Information

Organization to be Funded*

Age of Organization*

Start up
1 - 3 years
More than 3 years

Address of Organization*

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

Contact Name*

First Last Pronouns

Title of Contact Person*

Phone*

Email*

Website

Facebook page

Instagram page

Twitter handle

Does your organization have 501c3 tax status in the United States?*

Yes
No

If yes, please provide your #EIN:

Does your organization have a fiscal sponsor? If yes, provide the contact information for your fiscal sponsor (name, address, phone, and email) We will ask for a copy of your agreement if you receive a grant.*

Organizational Budget*

$250,000 max.

Project Name (If applicable)

Project Budget (If applicable)

Amount Requested*

$7,500 max.

Has your organization received a grant from Mary's Pence in the past?*

Yes
No

Mary's Pence grants to organizations up to three times.

If yes, indicate which years and amounts

If you are a new applicant, how did you hear about Mary's Pence Grants?

Who will be the contact person for grant activities? Please include name, pronouns, title, email, and phone if different from person completing the grant application as listed above.*

Hidden

Please list any local press in your organization's area. Mary's Pence will contact the media if your funding is approved.

Secondary Navigation

Step 1 of 3

Part 1 of 4 - Organization Information

Section 2 of 4 - Project Information

Part 3 of 4 - Work to be Funded

Section 4 of 4 - Budget