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GRANTS

GRANT REQUEST

In order for your 501(c)3 organization to be eligible for funding from DIFFA, please fill out the following form. DIFFA will keep this form on file and, when funds become available in your area, you will be contacted with an official RFP. Thanks for your interest!

Applicant Organization * Address 1 * Address 2 City * State * Zip * Phone * Email * Executive Director * Contact Person and Title
(if not Executive Director) Target Population Served *

Dollar Amount Requested and Purpose
(one sentence) * Total Organizational Budget
(current fiscal year) * Total Project Budget
(if requesting project support) * Caseload / Number of Persons
Served by Program * Organization's Mission Statement * Federal ID Number *

* Required Fields

If you are having trouble with this page,
please contact bdorsey@diffa.org or dsheppard@diffa.org.

GRANTS

GRANT REQUEST

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