Focus Areas

Does your organization serve anyone in the following communities?:*

If not, your organization does not meet the criteria to apply.

Which of the following services does your organization serve?*

If your organization does not serve the community with one of the services below, you do not meet the criteria to apply.

Education

Youth Services

Culture

Health & Human Services

Name of organization*

Is your organization a customer of Upcountry Fiber? (not required to be a customer to apply)*

Yes

Mission and history of organization*

Organization website URL*

Name*

First Last

Title*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Tax ID #*

Board of Directors list*

Max. file size: 64 MB.

IRS 501(c)3 Determination Letter*

Max. file size: 64 MB.

W-9*

Max. file size: 64 MB.

Any other useful information

Max. file size: 64 MB.

Name of program seeking funding for*

How much are you requesting?*

Provide a brief overview of the program and how it serves the community.*

Describe your audience demographics.*

How do you measure effectiveness of the program?*

Project Timeline*

Project Expenses/Budget*

Project Expenses/Budget Upload

Max. file size: 64 MB.

Optionally, upload a file that describes your project expenses & budget.

What portion of the budget would our grant cover?*

Please list other donors to this project*

By submitting this application, you agree that:

The funds granted will be spent solely on the described program or service in your application.
A report will be completed and submitted to Upcountry Fiber Foundation no later than six months after the grant contract date. It should include:
- Full financial accounting for the project
- Demonstrated results as outlined in the application
- Publicity samples (if applicable) acknowledging Upcountry Fiber Foundation as a funding source
Certifies that no person, on the basis of sex, color, race, religion, national or ethnic origin, marital status, language, sexual orientation, gender expression or identity, age, disability, or veteran status, should be excluded from participation in, be denied the benefit of, or be otherwise subjected to discrimination under the program or activity funded in whole or part by the Upcountry Fiber Foundation.

Comments

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UPLIFTING THE UPSTATE

APPLY FOR A GRANT

Grants will be reviewed quarterly:

GRANT APPLICATION FORM

By submitting this application, you agree that: