Funding Information

Is the organization a tax-exempt nonprofit? Yes No Select One

Is the organization requesting a challenge grant? Yes No Select One

Is the organization Vermont-based? Yes No Select One

Will there be an opportunity for public acknowledgement or other benefits to CVPS if a grant is approved? Yes No Please Select

If so, describe the nature of the proposed
acknowledgement or benefits.

Is the organization funded by the United Way? Yes No Select One

If so, state the most recent United Way award amount and date below.

Amount: $

Date: 

Does the application fall into one of the following categories? Check each one that applies.

Environment
Community & Economic Development
Health, Wellness & Safety
Children & Youth Development
Other

Please describe below how this grant would be used, the goals of the project or program, and how the success of the project will be determined.

Security Code:

Enter Security Code: