GRANT FORM | TRLA

GRANT REQUEST FORM

GRANT WINNERS FOR 2025

MICRO GRANT APPLICATIONS WILL OPEN

FALL OF 2026

Organization

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Phone

Is your orgnizatin a 501c3?

Yes

If your organization is a 501c3, please enter your FEIN

What is your organization's mission?

Contact Person's Name:

Phone

Amount Requested:

Does this amount reflect the entire cost for this program/project?

Additional Funding and Source(s), if any:

Description of purpose for the request, statement of impact:

Please describe your involvement/role with the organization and with the project:

Are at least 75% of the beneficiaries of this grant over the age of 65?

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