Grant Application

The Kiwanis Club of Tampa
6930 W. Linebaugh Avenue, Tampa, FL 33625
Admin@TampaKiwanis.org Web Site: www.TampaKiwanis.org
Tampa Kiwanis Foundation Federal Identification #59-6152595
Please complete this form as fully as you can. Attachments are accepted, but discouraged.

Guidelines for Foundation Grant Requests
Application Form and Cover Sheet

Grant Application

Step 1 of 3

33%

Organization Information
Organization:
Contact Name:*
First Last
Contact Phone:
Contact Email:
Nomination's Name*
First Last
Mailing Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date Needing Grant:
Date Format: MM slash DD slash YYYY
Amount Requested:
Date of Last Grant Award:
Date Format: MM slash DD slash YYYY
Amount of Last Award:

Organization's Background Information
Organization's Current Operating Budget:
Description of Organization's Purpose:
Description of Organization's Major Activities:
List of Organization's Current Board of Directors:
List of Organization's Current Corporate Contributors:

Kiwanis Grant-Specific Information
Budget for Grant Request:
Purpose of the Kiwanis Grant Request:
Describe How the Kiwanis Club of Tampa will be recognized for providing the Grant:
Attachments
Please attach the IRS Letter of Tax-Exempt Certification:
Please attach a Letter of Support from a current member of the Kiwanis Club of Tampa:

Proposals should be sent to: Dave Rogoff, President Tampa Kiwanis Foundation, Email: daverogoff@yahoo.com and copy Admin@TampaKiwanis.com

Grant Application

Grant Application

Step 1 of 3

Organization Information

Organization's Background Information

Kiwanis Grant-Specific Information

Attachments