Grant Inquiry Interested in Applying for a Grant? Fill out the form below. Our director, David Cooke, will follow up with you on your project. Step 1 of 3 33% Name * RequiredEmail Phone * RequiredAddress * Required Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you a 501(c)(3) organization? * RequiredYesNoIs your inquiry for a project with a registered 501(c)(3) organization?YesNo 501(c)(3) Organization TitleIs your mailing address is the same as the 501(c)(3) organization's? Yes No Address Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code 501(c)(3) Website - enter a valid website URL for example http://www.google.com 501(c)(3) Facebook - enter a valid website URL for example http://www.google.com 501(c)(3) Twitter - enter a valid website URL for example http://www.google.com 501(c)(3) PhoneDetermination Letter * Required File uploadAccepted file types: pdf, doc, jpg, png, zip.Only the following file types are allowed: pdf, doc, jpg, png, zipMaximum file size - 50 mega bytes. Allowed file extensions - pdf doc jpg png zip. Form 990 * Required File uploadAccepted file types: pdf, doc, png, jpg, zip.Only the following file types are allowed: pdf, doc, jpg, png, zipMaximum file size - 50 mega bytes. Allowed file extensions - pdf doc png jpg zip. Is your organization located in and/or serving the central Appalachian region? * RequiredYesNo Will the work funded fall under one or more of our four 'areas of interest'? Health Education Social Services Leadership Describe the project you are proposing we fund * Required