project AVA – Application

Requesting Organization’s Information

(All Fields and Attachments Required)

Organization Name:

Address:

Phone:
Tax ID:
Website

Contact:
Email:

Charitable Purpose:

Funds Requested:

Duration of Project:

Project Description:

Project AVA’s mission is to be a supplemental support system for other organizations (deemed non-profit by IRS) who provide resources to families (focusing on those with minor children) who are experiencing or have experienced financial hardships resulting in a struggle to secure basic needs. Tell us how your organization and the project for which funds are being requested aligns with this mission:

IMPORTANT: A copy of your IRS determination letter and a completed W-9 must be attached to this application.

IRS Determination Letter:

W-9 Form: