ACIF Grant Request Form

Please complete the form below to submit your grant request for review. We will let you know if/when your submission is approved.

Date of Submission*

Your Name*

Name of Organization to Receive Grant*

The Foundation provides grants and donations to qualified tax-exempt 501(c)(3) public charities. The Foundation may also support relief projects or causes the company deems important as they arise, such as natural disasters that affect our customers and associates.

Organization Contact Information*

Please input organization information below. Address (street address, zip code, state), email address (if available), website, and phone number.

Organization's Tax ID/EIN*

Contact the organization or refer to its website for the EIN. It is usually displayed prominently.

Please provide a brief description of the organization below and explain your involvement in its charitable activities.*

If you or a family have been directly or indirectly impacted by this organization's mission, please describe. (Please do not feel that you must provide personal details, unless you feel it will it necessary.)

Is funding needed urgently? For example, disaster relief funds.*

Select

Amount Requested*

The average amount awarded is between $250-$500 (USD).

Are any associate activities or events planned to support this organization?

Select

Heading

File Upload

Drag and drop files here or

Send me a copy of my responses

Privacy Notice|Report Abuse