Charity Donation Application Form

Charity Application

  • Please include information such as age, gender, socioeconomic status and details about those benefiting from the program. Describe the specific objectives and outcomes of the program and how they will be measured.
  • Program expansion is not required for funding. G&G Charities simply seeks to understand any incremental impact a grant may have on your program.
  • Please Complete this section using your most recent audited financial statement.
  • Please Complete this section using your most recent audited financial statement.
  • Please Complete this section using your most recent audited financial statement.
  • Please list all other sources of financial support for this program. Indicate funding amount and wether each source is committed or pending (Sources of support may include grants from corporations or foundations, government contract, individual donor contributions or earned revenue from events or service fees.)
    We acknowledge our organization may be funded in G&G publications, communications, and/or television spots.
    We grant G&G Independent Insurance the ability to use our organization Name/Logo/Likeness for promotional purposes in print, television, radio, and other internal and external communications. No other consent or right to inspect or approve the promotional materials is required.
  • Please Type Your First and Last Name
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