The Tiffin Community Foundation

Grant Application Form

Contact the foundation administrator (419-448-1791) for assistance in completing this form.

General Information
Legal Name of Organization*
Contact Person and Title*
First Last Title
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Fax
Email*
Website
Tax ID #*
Status*
- IRS 501(c)(3)
- Church
- Government Agency
- School
Date of Incorporation
Month
Day
Year
Mission Statement or brief statement of activities:*
Annual Operating Budget*
- Audited
- Financial Compilation
Project Information
Additional information may be requested.
Project Title*
Grant Request*
Duration of Project*
Project Start Date*
MM slash DD slash YYYY
How grant will be used*
Who will be served?*
Measurable Outcome*
Project Budget*
Other pending funding applications
Project Summary
Enter a brief project summary including a financial breakdown detailing how the grant will be used, or upload your one-page project summary below.
Project Summary
Max. file size: 10 MB.
Attach a one-page project summary including a financial breakdown detailing how the grant will be used. PDF Preferred.
Copy of your organization's 501(c)(3) tax-exemption letter from the IRS
Max. file size: 10 MB.
PDF preferred.
Brochure describing your organization or project
Max. file size: 10 MB.
PDF preferred.
Terms of Acceptance and Signature
I, the [applicant, requestor, etc.] for this Grant Application Form, warrant the truthfulness of the information provided in this application.
Electronic Signature*

Please type your First and Last Name.
*
- I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
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The Tiffin Community Foundation

Grant Application Form

General Information

Project Information

Terms of Acceptance and Signature

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