The Christopher Reynolds Foundation
267 Fifth Avenue,
Suite 1001
New York, NY 10016
Telephone (212) 532-1606 • Fax (212) 532-1403
email:
inquiries@creynolds.org
Application for Grant
(Along with this application, please submit six full copies of your grant proposal.)
You must complete the following:
Date of This Application:_______________________________________________
Organization Name:____________________________________________________
Year Founded:_________________________________________________________
Contact Person:________________________________________________________
Title:______________________________________________________
Address:______________________________________________________________
______________________________________________________________
Telephone Number:(______)_______________________Extension______________
Fax Number:(______)____________________________________________________
Email Address:_________________________________________________________
Please provide a brief summary of your organization’s mission:
Purpose of Grant:_______________________________________________________
If a grant were awarded, to whom would the check be payable?
________________________________________________________________________
Amount of Grant Request:_______________________________________________
Tax Exempt Status (please attach photocopy):_____________________________
Fiscal Sponsor (if applicable):_____________________________________________
Grant Period:____________________________________________________________
Fiscal Year:_____________________________________________________________
Total Organizational Budget:_____________________________________________
By date(s) and amount(s), list any and all grants The Christopher Reynolds Foundation has awarded to your organization in the past: