Grant Application Inquiry Form

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(as it appears on the IRS determination letter)

Address

(if any)

Contact Person

(Brief description including people served)

Project Funding

Funding Column One
(Cost of project / program for which funds are being requested)
(Cash or pledges raised for the project / program to date)
Funding Column Two
(Amount requested from the Dunklau Foundation)
(Total Project Cost - Funds Available - Amount Requested)
(if different than above)