PROJECT QUESTIONS Greenlight Grant Application The Dayton Foundation GENERAL INFORMATION (all fields required) The Organization's Name: Federal Tax ID#: The Mailing Address: Zip City: State: Code: Daytime Telephone: Web Site Address: Executive Director/ CEO's Name (check one): Executive Director/CEO's E-mail Address: Organization's Current Budget: $ Project/Program Budget: $ Requested Grant Amount: $ Contact Name for Grant Application: Title: Daytime Telephone: E-mail Address: Title of Project/Program: State the purpose of your proposal/request in no more than two sentences: What is the program area that best applies to this proposal (check one): Arts & Culture Health Environment/Animals Human Services Education & Youth Development Public/Society Benefit Grant Capacity Building Capital Campaign or Capital Improvement Category: Special Project or Program Expansion TERMS AND CONDITIONS I hereby certify that, to the best of my knowledge, all information presented in connection with this application is accurate. I agree to, and fully understand, this form, and I have reviewed the Dayton Foundation's Guidelines for Greenlgith Grants, and I accept its terms and conditions. Executive are accepted) Date Director/CEO’s Signature (electronic signatures
Greenlight Grant Application The Dayton Foundation The The GENERAL INFORMATION (all fields required) Organization's Name: Federal Tax ID#: Mailing Address: City: State: Zip Code: Daytime Telephone: Web Site Address: Executive Director/ CEO's Name (check one): Executive Director/CEO's E-mail Address: Organization's Current Budget: $ Project/Program Budget: $ Requested Grant Amount: $ Contact Name for Grant Application: Title: Daytime Telephone: E-mail Address: Title of Project/Program: State the purpose of your proposal/request in no more than two sentences: What is the program area that best applies to this proposal (check one): Arts & Culture Health Environment/Animals Human Services Education & Youth Development Public/Society Benefit Grant Category: Capacity Building Capital Campaign or Capital Improvement Special Project or Program Expansion TERMS AND CONDITIONS I hereby certify that, to the best of my knowledge, all information presented in connection with this application is accurate. I agree to, and fully understand, this form, and I have reviewed the Dayton Foundation's Guidelines for Greenlgith Grants, and I accept its terms and conditions. Executive Director/CEO’s Signature (electronic signatures are accepted) Date PROJECT QUESTIONS
GreenlightGrantApplication2017.docx