Rapid Response Fund Application - The Portage Foundation

The Portage Foundation holds a regular grant cycle each fall, with applications opening on June 1. The foundation may consider applications as part of our Rapid Response Fund at any time for emergency situations, natural disasters, etc., that create urgency in need. Use this application for consideration.

Rapid Response Fund Grant Application

Name of Organization *

Address *

City *

State *

Zip Code *

CEO/Exec. Director *

Email *

Contact Person *

Email *

Contact Phone *

Federal Tax ID # *

Project Request

Project Title *

Amount Requested *

Mission Statement *

Which of the following Portage Foundation Areas of Focus does your request most closely align?

Additional Information

Brief description of the project (including goals and objectives) *

Statement of need (500 words or less) *

Target population (population served)

Collaboration (indicate agencies you will collaborate with and/or coordinate the delivery of services – if any)

Optional : Other supporting information

Portage Foundation Grant Request – Project Budget

*Fill as little, or many as needed

Name Printed

Date

I/we understand, and accept

By submitting this electronic application, I/we certify that I/we reviewed the information and to the best of my/our knowledge it is accurate.

If you are human, leave this field blank.