Grant Application Inquiry Form

If your organization has previously received a Grant from The Rupert Dunklau Foundation you do not need to complete a Grant Application Inquiry Form. Instead you are asked to call (402-328-0370 or email Dunklaufoundation@windstream.net) the Foundation office requesting an updated Grant Application Form and details for submitting a new Grant Application.

If your organization has not previously received a Grant from The Rupert Dunklau Foundation you can either print off this Grant Application Inquiry Form fill it out completely and email it to dunklaufoundation@windstream.net or you can complete the form on-line and submit it by hitting the submit button at the bottom of this page. Once this inquiry form has been received and acknowledged you will be informed within 45 days of it's receipt whether your ministry would be invited to submit a Grant Application.

Name of Applicant *

(as it appears on the IRS determination letter)

Date of IRS Letter *

Month

Day

Year

(Date of IRS Letter)

Address

Street/Post Office Box *

City *

State *

Zip *

Phone *

Legally Affiliated organization * (if any)

Contact Person

Contact Name *

Contact Title *

Phone *

Email Address *

Geographic Area Served by Organization *

Description of Project *

Brief description including people served.

Project Funding

Total Project Cost * $

(Cost of project / program for which funds are being requested)

Funds Available * $

(Cash or pledges raised for the project / program to date)

Amount Requested * $

(Amount requested from the Dunklau Foundation)

Balance Needed * $

(Total Project Cost - Funds Available - Amount Requested)

Submitted By Name *

Submitted by Title *

Contact Information

(if different than above)