Printable Application Download & Print Application Complete Application Online * Indicates Required FieldApplicant InformationApplicant / Contact Name:*Non-Profit Organization:*Fiscal Agent*Address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number:*Date:* Date Format: MM slash DD slash YYYY Application Quarter:*Proposal:Please explain your purpose for applying for a Riedel Grant.*Include amount of request, significance or uniqueness of program, and the expected results.If approved, what is your timeline for the completion of this program?*Financial Status:Budget for program:*Do you accept stock gifts? If so, please provide your DTC information.*Statement of sponsoring organization financial position:*Upload Financial Statements Drop files here or Please attach a copy of your financial statements for the past three years - balance sheet & income statement.Exit Strategy:How do you plan to continue a successful program once support from the Riedel Foundation ceases?*Non-Profit Organization and Leadership:Please provide evidence of tax exempt 501(c)3 Status. Drop files here or Please attach a proof of your 501(c)3 status.Please provide a list of members of the governing body.*Identity and qualifications of key personnel involved.*Has the above governing body reviewed the proposal and specifically approved for submission?*Upload Meeting Minutes Drop files here or Please include a copy of the minutes from that meeting.Has your sponsoring organization previously received Riedel Foundation grant dollars?*YesNoIf so, please provide a cumulative review of the amounts given and describe the success of each project supported.CommentsThis field is for validation purposes and should be left unchanged.
