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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number:* Email:* Date:* MM slash DD slash YYYY Application Quarter:* Proposal:Amount Requested:* 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:Proposed budget for program:*Do you accept stock gifts? If so, please provide your DTC information.*Statement of sponsoring organization financial position.*Upload Financial Statements. Please attach a copy of your financial statements for the past three years - balance sheet & income statement.* Drop files here or Select files Max. file size: 256 MB, Max. files: 5. Exit Strategy:How do you plan to continue a successful program once support from the Riedel Foundation ceases?*Non-Profit Organization and Leadership:Can you provide evidence of tax exempt 501 (c) 3 Status?* Yes No Please provide evidence of tax exempt 501(c)3 Status. Drop files here or Select files Max. file size: 256 MB, Max. files: 5. 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?*Please include a copy of the minutes from that meeting. Upload Meeting Minutes: Drop files here or Select files Max. file size: 256 MB, Max. files: 5. Please include a copy of the minutes from that meeting.Has your sponsoring organization previously received Riedel Foundation grant dollars?* Yes No If 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.
