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C1st Grant Application

All fields marked with * are required.

Name of Organization *

501(c)(3) or Governmental Organization? *

If yes, EIN number:

Contact Person *

Email *

Phone *

Organization Address *

City *

Please select the town/location nearest you: *

Project Name *

Project Timeline *

Amount Requested *

C1st employees or members involved in the organization?

If yes, at what level and who (i.e. Board Member, volunteers, etc.)

Details of grant requested *

Please describe how C1st will be recognized

Please attach additional information that is relevant for the review of this request, including a copy of your organization's IRS designation letter, if applicable.

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