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Mini-Grant Process

1. Applicant Information

DATE OF APPLICATION:

NAME OF ORGANIZATION:

ORGANIZATION ADDRESS:

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

MICHIGAN CHARITABLE SOLICITATION REGISTRATION #:

2. Project Information

PROJECT TITLE:

PROJECT PURPOSE:

PROJECT START DATE:

PROJECT END DATE:

AMOUNT REQUESTED FROM CSMCS:

USD

TOTAL COST OF PROJECT:

USD

Who will be the primary person for questions or other communications regarding

the mini-grant?

PRIMARY CONTACT’S NAME:

First

Last

PRIMARY CONTACT’S EMAIL:

PRIMARY CONTACT’S PHONE:

Who will be the secondary person for questions or other communications regarding the mini-grant?

ALTERNATE CONTACT’S NAME:

First

Last

ALTERNATE CONTACT’S EMAIL:

ALTERNATE CONTACT’S PHONE:

3. Narrative

Organization Profile:

Project Description:

Project Outcome(s):

Organization’s Current Funding Sources:

What will happen if CSMCS is not able to help fund this program?:

4. Financial Statements

Submit your annual financial statement

5. Examples of Organizational Documents

Submit examples of your documents, brochures, stickers, signs or copies of other information that contains the logo or mention of the CSMCS as a contributor to your organization.

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