Duquesne Light  

Duquesne Light Grant Application Form

Organization Information
Organization Name
Address 1
Address 2
City, State  Zip
Phone
Website Address
Are you a 501(c)(3)? Yes     No

Contact Person:

 

Name

E-mail Address
Fax Number
Phone Number
Purpose/Mission
Budget and Fiscal Year
If your organization receives United Way Funding, please indicate the amount received from donor designated gifts, United Way allocations, and special awards.
Grant Request Information:

Amount Requested

Project Description
Total Project Budget and Sources of Revenue

Purpose of Duquesne Light Grant (purchase curriculum, marketing/outreach, underwriting events, tickets, transportation, etc).

Target Population; e.g. who and how many will benefit from the project, which Duquesne Light communities will be served.

Issue or opportunity being addressed

Anticipated Outcomes

Method to be used to measure the achievement of those outcomes

The Relationship of the Proposal to Advancing the Organization's Mission

Project Duration

Collaborators,if any

Marketing/Outreach Strategy, if appropriate

Demographic Profile of Board of Directors: Please provide name, race, sex, and town/community residence

Other organizations from which you are requesting funds. Include amount requested, received and pledged

Describe plans for media coverage

You can expect to hear from us within ninety days. If your application is advanced for final consideration, we will contact you for the following information:

copy of IRS 501 (c)(3) designation or other documentation substantiating tax exempt status

supporting information and/or documentation such as news clippings, letters of support, etc. (if available and applicable).

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