Organization
EIN # Tax ID (necessary only if you have never received a grant from us or you have updated your status)
Physical Address
Town
Zip Code
Mailing Address
(if different)
Telephone Number
Email address for Contact with us
Email address for Nonprofit Directory
(only if you do not have a website. We do not publish personal email addresses, only generic such as info@xyz.org)
Contact Person Name and Job Title
(for our records only)
Website
Categories
Please check up to 5 of the following categories for the services you offer.
Affordable Housing
Food/Clothing/Shelter
Animal Welfare
Health (hospitals and clinics)
Arts
Historical/Museum
Child Welfare (adoption/protective services)
Legal Services
Childcare
Mental Health
Developmental Disabilities
Pregnancy/Parenting
Education Fund
Sports/Recreation
Education- Schools
Substance Abuse
Education- Supplemental/Job Training (after school programs, adult education, extra-curricula education, job training)
Women/Girls
Elder Services
Youth
Environmental
Description of your organization
(for the Directory)
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Comments
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