Grant Application Form – Association of Anglican Musicians

Applicant Name*

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Last

Applicant Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Applicant Email*

Applicant Phone*

Applicant Website

Organization

Organization Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Organization Email

Organization Phone

Are you applying as an? (Select one)*

Incorporated non-profit organization
Individual

If incorporated non-profit organization, please provide Federal Tax ID number:

If individual and the amount requested is over $600, please attach a completed W-9 form to this application

Project Title or summary (if summary, 300 character limit)*

Project Start Date*

Project End Date*

DETAILED PROJECT DESCRIPTION

Describe how this project will further the goals of the Association of Anglican Musicians. As a minimum, please provide a timeline for the project plus an estimate of how many people will benefit from this project. If applicable, also include project goals, inclusiveness, number of volunteers working on the project, and any other information that you believe will be of assistance to the Endowment Committee in evaluating your request. (2000 character limit)*

PROJECT BUDGET

Project Income (if applicable):

Project Expenses:

Amount requested from AAM:

By signing below, I certify that the information contained in this application is true and correct to the best of my knowledge. (Director, contact or other person in charge of application.)*

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Date*

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