Excellerate Foundation Funding Inquiry

Organization Name:

Project Name:

Organizations EIN/Tax-ID Number:

Organization's Website:

Name of Person Submitting the Request:

Position of the Person Submitting the Request:

Phone Number:

Email:

Address:

City:

State:

Zip Code:

Is your organization a 501c3 nonprofit organization? Yes No

What counties does your organization serve? Excellerate Foundation only provides grants for projects that serve Benton, Madison and/or Washington Counties. Benton Madison Washington

Please select which of Excellerate Foundation's strategic pillars and initiatives your project aligns with. Select all that apply. Education

Please select which education initiatives your project aligns with. Select all that apply. Excellerate Foundation is currently not actively funding additional projects related to Upskilling. Early Childhood (Age 0-5 years) Youth (Age 14-21 years) Upskilling

Housing

Please select which housing initiatives your project aligns with. Select all that apply. Excellerate Foundation is currently not actively funding additional projects related to Housing Assistance Funds. Affordable Communities Housing Assistance Funds

Social Support

Please select which social support initiatives your project aligns with. Select all that apply. Addressing Systemic Racism Diverse Social Networks

Excellerate Foundation does not typically provide funding for annual fundraising campaigns and/or to cover costs associated with ongoing general operations.

Annual fundraising campaigns may include funds raised through sponsorships of galas, 5k race events, etc. Costs associated with ongoing general operations may include staff salaries and monthly expenses such as rent, utilities, etc.

Is your project related to annual fundraising and/or to support ongoing general operations? Yes No

Amount Requested for this Project:

Please give a brief summary of the project you are requesting funding for.