Grant Application

* Indicates required field

Name of Organization *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact's Email *

Contact's Phone *

Website Address *

Is your organization a tax-exempt non-profit? *

Yes No

If so, what is your Federal Tax ID#? *

Year Founded *

Current Total Budget *

Primary Sources of Funding *

Grant Amount Requested *

Please attach the following to this application:
1) A detailed narrative describing the project and/or services the grant funds will support, project goals and how they will be attained, the specific geographic area and population that will be served and the number of community members that will directly be served.

2) A spreadsheet showing proposed expenditure categories and amounts.

For assistance with this form, please email commongoodplumas@gmail.org.

By submitting this form, you certify that the information provided is accurate and you are the authorized representative for the agency named in this form.

Name *

First

Last

Title *

Submit

The Common Good Community Foundation
364 Johnsville Road
Blairsden, CA 96103
Email: commongoodplumas@gmail.com
Phone: (530) 836 - 0136