THE GUILFORD FOUNDATION, INC.

FUNDING REQUEST
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Date:

Organization:

Contact Person: Telephone Number:

Address:

Project:

Objective:

Description and Duration:

What is your funding request?

Estimated cost of the project (if different from request):

Other funding sources for this project:

Have you requested funding for the same project from other sources?

Brief summary of current organizational budget (including all funding sources):

When do you need the first funding?

Do you wish to receive funding in installments? If yes, provide detail:

Please refer to our guidelines when completing this form.

Feel free to add additional information or send supplementary materials about your project.

Mail to: Paula Schiller, Chairman-Project Review Committee

E-mail as a word attachment to: ppschiller@snet.net

or US mail: 14 Village Victoria Drive, Guilford, CT 06437