Kindness Investment Program Application 2024

Date of Application:

Name of organization:

Mailing Address:

Contact Person, title:

Phone number:

Email:

Project title:

Dollar Amount Requested:

Project Dates:

Total Projected Budget:

Agency/Department Annual Operating Budget

Other Sources of Project Revenue:

(Please list all confirmed & pending sources)

Date when funds are needed:

We are an informal group – we do not have any formal legal structure.  Yes  □      No    □

We are an informal group but have partnered with a non-profit/fiscal agent.  Yes  □      No    □

Organizations Name and Federal Tax Identification Number: ______________________________________

We are a 501 (c) (3) non-profit.  Yes  □    No    □ 

Organizations Federal Tax Identification Number: ____________________________

We are a public agency/unit of government.  Yes  □ No    □

Organizations Federal Tax Identification Number: ____________________________

We are a for-profit entity.  Yes  □             No    □

□   Health    □   Education   □   Financial Stability   □   Hunger   □   Safety & Well Being

Give a brief explanation of how the project aligns with UWSWMN priority areas:

Give us a brief overview of this project and how grant funds will be used:

For our information, please specify where you heard about the KIP grant:

For us to process your application, please ensure you have the following:

• Answered all questions on this form
• Sign the form
• Submit the completed form to: unitedway@unitedwayswmn.org

By signing below, you are confirming the following:

• You have read and understood KIP grant guidelines.
• All the information supplied in this grant application is correct.
• Agree to submit grant summary report within 30 days of project completion.

Signature:

Print name:

Date: