2024 General Grant Application Part 1 - Grant Cover Sheet Total Amount Request (In US Dollars): $ Brief Name of Project or Program: Name of Organization Physical Address Address 1 Address 2 City State/Province Zip/Postal Code Country Website http:// Federal Employer Identification Number (FEIN) Are you a registered 501(c)(3) Exempt organization? Yes No Name of Authorized Contact First Name Last Name Title Email * Phone * (###) ### #### Mailing Address Address 1 Address 2 City State/Province Zip/Postal Code Country Part 2 - Detailed Proposal (Please complete the fields below or leave blank and email your detailed proposal separately to mef@fpcbristol.org) Briefly describe how MEF funds will be used (200 words or less) Briefly describe how this grant request fits the MEF purposes (refer to MEF General Grant Information; 100 words or less) Provide a detailed proposal for your grant request (1000 words or less) How will you measure success of this project, and what are the success indicators that you will use? (200 words or less) Tell us about your organization, its purpose, whom you serve, and the geographic area served. Describe the financial support you need from MEF and the impact this support will have in helping your organization accomplish its goals. Provide a detailed proposed budget for funds received from MEF (how you plan to use the funds should your request be approved) Please email additional documents, pictures, and any additional information that you would like to include to mef@fpcbristol.org. Thank you!