The Christensen Fund: Feedback

Dear Grantseeker:
The Christensen Fund staff can determine your organization's eligibility for funding by reviewing key information from your inquiry. After completing and submitting the following form, you will receive notice within six weeks as to the next steps of your application.
It is possible to “copy and paste” the necessary information from your word processor into the inquiry form.

Note: It is mandatory to complete a field designated with "*".

Be sure to press submit once the form is complete.

Your Organization

*Organization's Name:

Address (line 1):

Address (line 2):

City:	State:

Zip Code:	Postal Zone (non-U.S.):

Country:

Non-Profit Information

Please enter information for the non-profit organization or education under which you are applying for funding.

UNITED STATES APPLICANTS

*U.S.A. Tax ID:


*I.R.S. Status:
501(c)(3)	509(a)(1)	501(c)(6)
Other (specify in tax code)

OTHER COUNTRIES

* Organizations from countries other than the United States, please enter information regarding your legal status, country of registration and type of organization (i.e., exempt non-profit, government, school, etc.). Include identifying registration numbers if applicable. (30 words or less). For longer organizational description, use Organization Background field below.

Contact Information

Telephone

*Country/City/Area Codes	*Phone:


Fax

Country/City/Area Codes	Fax:

Internet

E-mail:

Website URL:

Preferred Means of Contact:
E-mail	Telephone	Fax	Post

Primary Contact:

*First Name:	*Last Name:

Your Project

*Project Title:

*Project Description: (300 words or less)

*Goals, Aims and Measures of Success: (400 words or less)


*Organizational Background: (200 words or less) Please provide information on your mission, basic history, primary activities, governance and typical sources of financial support and/or major donors.

*Amount Requested from TCF:

$(USD)

*Total Project Budget:

$(USD)

Duration of Project:

*Other Funding Sources (please indicate whether none, pending or awarded, and amount):

*Main Project Personnel and Qualifications: (100 words or less)

Additional Information: (100 words or less)

*Please let us know how you learned about the Fund (postcard, word of mouth, online search, foundation directory, etc.) and if not included above, provide background information on your organization.