Grant Request Form

Grant Request Form

Thank you for your interest in applying for a grant or donation from our organization. We are committed to supporting initiatives that align with our mission and values. Please complete the form below to provide us with the necessary information to evaluate your request. Ensure all required fields are filled out accurately, and attach any supporting documentation as needed. We appreciate your time and look forward to reviewing your application.

Please email marissabam@ascentek.com with any questions

How did you find out about us?*

Select

Ascentek or Bame Foundation Representative

Organization Information

Organization Mission*

Organization Name*

501c3 Status*

Please provide the organizations Tax ID (EIN)

We are unable to provide grants to organizations that are not a 501c3

Contact Person*

(Person filling out request form)

Email Address*

Phone Number*

(Person filling out request form)

Mailing Address*

Website

(if applicable)

Grant Request Details

Type of Request*

Select

Requested Amount or Item(s)*

Purpose of Grant/Donation*

(brief description)

Date of Event/Program

Date the funds or donated item needs to be received

Will there be advertisement opportunities and if so, what type?

Email address to send logo to for advertisement use.

(If applicable)

Has your organization received funding from us before (Y/N)

If yes, when and how much?

Supporting Documentation

Proof of 501c3 status, project proposal or supporting documents

File Attachments

Drag and drop files here or

By submitting this form, the requester acknowledges that all information provided is accurate and that funds/items granted will be used for the specified purpose.

Send me a copy of my responses

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