Online Application Please complete this application in its entirety. If you have any questions please contact our office.Grant SummaryPrepared For (Grant Project)*Organization Name*Federal Tax ID#Organization Website Organizational Focus*Arts, culture, humanitiesCommunity improvement generalCommunity improvement / capacity buildingCommunity improvement / historic projectCommunity improvement / recreational facilitiesCounseling and placing abused children in foster/adoptive homesDisease / disorder / medical disciplines (multipurpose)Education institutions and related activitiesEnvironmental quality, protection & beautificationFood, nutrition, agricultureHealth & Human ServicesHealth-generalHousing / shelter & Food, nutrition, agricultureHuman services-other/multipurposeMental health, crisis interventionPreservation of Ranching history and present day issuesRecreation, leisure, sports, athleticsTransportationYouth developmentN/APurpose of Organization*Purpose of Request* Operating Capital & Equipment Special Project Brief description of what the grant money will be used for*Amount of Funds Requested*Your matching fundsTotal Budget (request + match)Cover Letter (on official organization letterhead)Max. file size: 32 MB.Contact InformationContact Title*Contact SalutationMr.Mrs.MissDr.Ms.Prof.JudgeRev.Capt.MajorLt.-Col.Project Contact* Contact First Name Contact Last Name Contact Email* Contact Phone*Executive Director (if different than above) Director First Name Director Last Name Director SalutationMr.Mrs.MissDr.Ms.Prof.JudgeRev.Capt.MajorLt.-Col.Director TitleDirector Email Director PhoneMailing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Physical Address*(all formal correspondence will be mailed to this organization contact at this address)Funding Request DetailsDiscussion Of Need*How Funding Will Be Used To Meet Need And Planned OutcomesEvaluation Of Project Outcomes*Future Funding Needs*Institutional ProfileGoverning Board Members*include city of residenceConcise Historical Sketch*Organizational Objectives*Geographic Area Served*Organizations Offering The Same Or Similar ServicesFinancialsLatest Audited Financial Statements (if your audited financial statements are more than 12 months old, also include your latest fiscal year end unaudited financial statements). If you do not have audited financial statements, you must submit last year’s unaudited financial statements and interim statements for the current year.Max. file size: 32 MB.Please upload a copy of your current year project budgetMake sure to include your funding summary and budget detail for capital or special project funding requests.Max. file size: 32 MB.FinancialsLatest Audited Financial Statements (if your audited financial statements are more than 12 months old, also include your latest fiscal year end unaudited financial statements). If you do not have audited financial statements, you must submit last year’s unaudited financial statements and interim statements for the current year.Max. file size: 32 MB.Please upload a copy of your current year budget informationMake sure to include your current year operating budget as well as YTD Budget vs Actual comparisons.Max. file size: 32 MB.Prior Year Contribution AnalysisPlease include funding contributions from the following: governing board, individuals, corporations, and foundations.Total Prior Year ContributionsContribution DetailArrange from largest to smallest Contribution Source Contributor Name Amount Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Additional AttachmentsIRS determination letter of ruling of tax exempt status under Section 501(c) (3)Max. file size: 32 MB.Supporting Documents (if needed)This field is hidden when viewing the formAdditional supporting documentsMax. file size: 32 MB.Additional supporting documents Drop files here or Select files Max. file size: 32 MB. The Archer Foundation (the “Foundation”) knows your privacy is important to you, and it is important to us too. This Privacy Policy explains the types of information we collect through www.thearcherfoundation.org (the “Site”), how we will use it, and how we plan to protect that information once it is collected. Please review this Privacy Policy to make sure you understand how any personal information you provide us will be handled. This Privacy Policy is a part of the terms and conditions which are set forth in our Terms of Use. Any capitalized terms that are not defined in this Privacy Policy have the meaning ascribed to them in the Terms of Use. We may change this Privacy Policy from time to time. When we do, we will let you know by posting the changed Privacy Policy on this page. In some cases, for example, if we make any significant changes, we may contact you directly about them, such as by sending you an email. Any changes will be effective immediately upon posting to the Site.Consent* I agree to the privacy policy.CAPTCHAEmailThis field is for validation purposes and should be left unchanged. 52144
