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The Arthur W. Perdue Foundation Online Grant Application

Organization Name:

Organization's Taxpayer Identification Number (TIN):

Organization's Address:

Street or PO Box:
City:
State:
Zip:

Is this organization designated by the IRS as a 501(c)(3) non-profit or tax-exempt organization?

Community Served:

Amount Requested: $

Will these funds be used to provide direct benefit in the area(s) of education, agriculture, environment, health and social services, public safety or fighting hunger and poverty; or to directly support a cultural or heritage event in the community?

Will these funds be used to support a service, fraternal or veterans organization; religious activities of a church or religious organization or political action or lobbying?

Will these funds be used to aid a single individual or family?

Will these funds be used to support a participatory fund-raising event, such as a team walk, golf tournament or charity banquet; or to support an endowment or the overhead costs of fund-raising activities?

Will these funds be used to support a sports team, an individual athlete or a competitive league or competitive event?

Describe the specific use for the funds requested, i.e. how this will this project/program benefit your community and who will benefit.

Detail the budget for this project/program and highlight funds already raised or committed for this project/program.

Outline specific goals for the project/program for which funds are requested. Include detail as to how success will be measured.

Please provide a brief description of the organization's primary activities.

You may attach additional files to support your application request. (Word or PDF only)

Enter your name & contact information:

Title:
Name:
Phone: () -
Email Address:

Are you a Perdue associate or does this organization have an affiliation with Perdue associates?

Name:

Title:

Location:

Describe the affiliation between the charitable organization and Perdue.

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