Marvin Lewis Community Fund :: One Play at a Time

MLCF Grant Application

Organization Name:
Contact Name:
Address, City, State, Zip:
Phone Number:
Email Address:
Website:
Tax ID number:
Description of Organization's history:
Organization's Mission:
Description of current programs/projects and activities:
Description of population and geographic region served:
Amount Requested:
Name of program/project grant will go towards:
Program goals/objectives/impact:
Measurable short term and/or long term outcomes of this program/project:
How will the outcome be measured:
Will you collaborate with other organizations for this program? (If so, with whom and how?)