Project Application

Thank you for your interest in the Alliance Catholic Foundation Grant Program. Grants on behalf of Alliance Catholic Foundation will be awarded to organizations who support the mission and align themselves with our core foundation values, which focus on furthering education and improving the quality of life in the communities we serve.

Download Grand Request Guidelines.

Download the PDF version of this application if you would prefer.

Please mail completed application to:
Alliance Catholic Foundation / Attn: Operational Committee
26913 Northwestern Hwy Ste 520
Southfield, MI 48033

Or email your application to GrantRequest@AllianceCatholicFoundation.org

Contact Information

*Phone Number

*Street Address

*City

*State

*Zip Code

*Website Address

*Federal Tax ID Number

Executive/President:

*First Name

*Last Name

*Email Address

*Phone Number

Primary Contact (if different):

First Name

Last Name

Email Address

Phone Number

Organization

*Mission Statement

*Audience Served by the Organization

*Top 5 Donors during the last fiscal year: (List First/Last Name and/or Organization Name)

Total Fund Distribution (must = 100%)

*Administration %

*Programs %

*Number of Full Time Employees

*Number of Part Time Employees

Proposed Grant Request

*Grant request for supporting (Check One)

Education

Improving Quality of Life

*Program/Project Name

*Program/Project Purpose

*Program/Project Timing

*Number of People Impacted

*Total Project Budget

*Requested Amount (must not exceed $5,000)

*Funds Needed by (mo/day/year)

*Description of the specific need/problem being addressed through the grant

*Explain how you will measure the effectiveness of your activities

*How will Alliance Catholic Foundation Be Recognized?

Include an attachment you would like considered with your application (optional)

NOTE: Upon review of your application, Alliance Catholic Foundation reserves the right to request additional information to submit to the committee or to prove your tax-exempt status. Additional information may include:

W9
Current IRS 501 (c)(3) Recognition Letter
Most recent, current independent financial audit - IRS Form 990
YTD financial statement (income and expense) for your current fiscal year
Most Recent Annual Statement (audited if available)
Detailed Budget of the Project which funds are being sought
Current Board of Directors list with background and affiliation of each member
Letters or other documentation from the collaborating agencies.

Agreement

By submitting this application, I do hereby consent and agree that the Alliance Catholic Foundation may use my likeness and/or recordings of my voice in the production of advertisements, or in any manner or form, for legitimate purposes, and at any time or place it desires.

I release and discharge the Alliance Catholic Foundation from any liability to me by virtue of any alteration that may occur from using my likeness and/or recordings of my voice in advertisements or other publicity purposes.

This agreement is binding on my heirs, successors and assigns, and represents the entire agreement between myself, my organization and the Alliance Catholic Foundation regarding the matters herein agreed.

THE INFORMATION PROVIDED IN THIS APPLICATION AND SUBSEQUENT REQUESTS FOR INFORMATION RELATED TO THIS APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE.

* I agree to these Terms and Conditions

Yes

*Name

*Title

*Date