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Grant Request

Grant Request (online)

Please complete the following information:

Your organization name *

Name *

Title

Email *

Phone

Organization EIN number

Year your 501(c)(3) was granted

Address

Address Line 1

Address Line 2

City

State

Zip Code

Website / URL

What best describes your organization's operating model?

Brick and Mortar
Foster Based
Other

If Other, please describe:

What best describes your organization's staffing?

Fully Volunteer Operated
Staff and Volunteer Operated
Fully Staff Operated
Other

If Other, please describe:

Give us a brief description of your organization's mission and purpose

Give us a summary of your organization's annual impact and notable accomplishments

How much funding are you requesting (up to $2,000)? *

Enter the amount in US dollars. Requests are limited to $2,000.

Describe how you will use these funds: *

Please detail the costs for the services or items you plan to purchase:

If you have links to the items, you can insert them here. Put commas between multiple links. You can also upload budget details at the end of this application. NOTE: Receipts will be required with your final grant report.

How will this funding support your mission or programs? *

Is there anything else you would like us to know about your organization, impact or request?

If support is granted, are you able and willing to share a Facebook post tagging The LeBel Foundation as a thank you? *

If granted, do you agree to submit a funding report with receipts of purchases and impact outcome by the deadline noted on your award letter? *

Understand that if this deadline is missed, your organization will be disqualified from future funding for a minimum of two years.

If you would like to upload supporting documents, you can do so here

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Upload up to 5 files. Maximum 10 MB per file. Accepted formats: PDF, Word, Excel, JPG and PNG.