JL JUNIOR LEAGUE OF
MEMPHIS

Community Assistance Fund Application

Organization Name:

Contact Person Name:

Address:

Phone:

Email:

Website:

How did you hear about this grant application for Junior League of Memphis?

Date of Application:

1. Please describe your organization and whom it impacts in the Memphis community. Please list if there are any specific neighborhoods the majority of your audience lives. (For example, Berclair, Binghampton, Highland Heights, etc

2. Is the agency requesting funding considered a 501(c) (3) organization? Select ... Yes No

EIN for your nonprofit

3. Has the agency received funding from the Junior League of Memphis in the past two years? Select ... Yes No

4. Please list the amount of funding amount that you are requesting:

5. What is your reason for requesting this funding? Please explain if this is an emergency situation, such as funding from another source is no longer available, or any other information you can give.

6. What will the funds be used for? Will these go toward a general expense or specific project? Please be specific.

7. When are the funds needed?

8. Please explain how these funds will impact neighborhood revitalization.

9. Please provide the best time of day to reach you and best way you can be reached.

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