Grant Application - H.J. Russell & Company

HJR GRANT APPLICATION

Organization General Info
Organization Name*
Website
Address*
City*
State*
Zip Code*
Organization Overview
Brief description of organization’s mission and history
Organization Type*
Annual Operating Budget
Primary Contact for this Request
Title
Prefix
First Name*
Last Name*
Office Address
City
State
Zip Code
Phone
Fax
Mobile*
Email*
Leadership Contact
Title
Prefix
First Name
Last Name
Office Phone
Email
HJR Investment Area
Will the project or program for which you are requesting funding make a significant impact in one of the four key areas?*
Type of support
Project Title
Project Description
Measurable Outcomes
Target Audience
Number of People Impacted
Ethnicity
Gender
Project Budget
Request Amount
Do you have other Corporate Sponsors?
- Yes
- No
Are you applying for multiple grants?
- Yes
- No
Attach a copy of the IRS W-9 form is required
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 256 MB.
Attach a copy of the IRS 990 Schedule A page 1
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 256 MB.
Name
This field is for validation purposes and should be left unchanged.

20201

Organization General Info
Organization Name*
Website
Address*
City*
State*
Zip Code*
Organization Overview
Brief description of organization’s mission and history
Organization Type*
Annual Operating Budget
Primary Contact for this Request
Title
Prefix
First Name*
Last Name*
Office Address
City
State
Zip Code
Phone
Fax
Mobile*
Email*
Leadership Contact
Title
Prefix
First Name
Last Name
Office Phone
Email
HJR Investment Area
Will the project or program for which you are requesting funding make a significant impact in one of the four key areas?*
Type of support
Project Title
Project Description
Measurable Outcomes
Target Audience
Number of People Impacted
Ethnicity
Gender
Project Budget
Request Amount
Do you have other Corporate Sponsors?
- Yes
- No
Are you applying for multiple grants?
- Yes
- No
Attach a copy of the IRS W-9 form is required
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 256 MB.
Attach a copy of the IRS 990 Schedule A page 1
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 256 MB.
Phone
This field is for validation purposes and should be left unchanged.

95160