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Our Grants
Our Application
Our Roots
Contact

Zimmer Community Fund

Grass Roots Grants Application

Please remember to email a few photos of your program at work. Follow up with us in a week to check on your application’s status.

Application form

Notify

Nonprofit Name

FEIN #

Name of Person Completing This Application

Title

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Physical Address (if different from mailing)

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Website

Date of Last NM-COROS Filing

Date of Last US-990

# Paid Employees

# Years in Operation

Mission Statement

Service Description

Service Area

How Did You Hear Of Us?

Have you received a grant before?

Yes

No

If yes, how did you use the grant?

Date Requested

Annual Amount Requested

How do you intend to use the grant?

Executive Director Signature (Digital)

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