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Organization Information

  • OK Name of Organization is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Website is required
  • OK Mission Statement is required

Project Information

  • OK Application Amount is required
  • OK Total Cost of Project is required
  • OK Brief description of proposed project is required
  • Does the primary purpose of the donation / sponsorship meet one of the following criteria? Choose an item

    OK Does the primary purpose of the donation / sponsorship meet one of the following criteria? Choose an item is required
  • OK If other, please specify is required
  • For community service, choose best answer

    OK For community service, choose best answer is required
  • Will the donation primarily benefit low to moderate income individuals/families (LMI) as defined by the Department of Housing and Urban Development?

    OK Will the donation primarily benefit low to moderate income individuals/families (LMI) as defined by the Department of Housing and Urban Development? is required
  • ($57,280 or under for NH; $51,760 or under for VT)

 

    If yes, please attach supporting documentation which may include the following:

    • Copy of mission statement
    • Data showing percentage of LMI families served
    • Copy of application individual must complete to qualify for service
    • Signed letter from organization stating that LMI families are primary individuals served

Additional Details

  • Counties being served

    OK Counties being served is required
  • OK If other, please list is required
  • I am interested in CSB promoting us on Facebook

    OK I am interested in CSB promoting us on Facebook is required

Contact Information

  • OK Contact Person is required
  • OK Mailing Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Phone is required
  • Required Documents:

    • Copy of 501(c)(3) tax exempt status
    • Most recent annual report and financial statements
    • Current year budgeted income and expense
    • One Page Memo describing the applicants program and purpose for funding

    *Please use button below to upload ALL documents at once. Once uploaded and you receive a message that the uploads are complete, close that browser page and you will be back on the CSB Foundation application page, to complete the final steps.

    Upload Supporting Documents*

    *Please be sure to have the name of your non-profit in the title of your document before you upload.

    OK I agree to the Guidelines and Criteria is required
  • OK is required