Proposal for Funding Application

* No proposal will be accepted that does not contain all information

Legal name of organization

Executive Director

Address

City

State

Zip

Contact Person

Email Address

Work Phone number

Cell number (optional)

Fax number

Amount Requested

Project budget, if applicable

Total annual organizational budget

Fiscal year ends

/

Supported by United Way?

Type of request

Three sentences summarizing the organization's mission

Three sentences summarizing the proposal for funding

State the proposal's target population and geographic locale

Period this grant will cover

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List any previous support from the George A. Ramlose Foundation over the last five years

List other Foundations that have made contributions to you in the last five years.

PDF or Word Doc. Version of Your Full Proposal

Copy of your 501c3 Classification

The last 4 digits of Employer I.D. number:    

DLN number on the front page of IRS determination letter: