Grant Application - Hansen Family Foundation

The Hansen Family Foundation (HFF) welcomes your applications for a grant. Click on the link below for the grant application, print it and fill it out and send it to us either by email or regular mail using the link or address below. Use the "Contact Us" tab to email us your questions if you have any. Please complete all applicable sections of the application and indicate in the comments section if the grant is time-critical and the reasons that drive the timing of the grant and what those deadlines are. If the grant is not time-critical then it will likely be voted on by the HFF Board of Directors (BOD) at the next scheduled BOD meeting. Those meetings normally occur semi-annually, once in the Spring and once in the Fall.

First, let's make sure you qualify to apply for a grant.

Are you a 501(c)(3) non-profit organization?*

Great! Let's proceed with the application.

Sorry, but we only accept applications from 501(c)(3) organizations at this time.

Organization

Organization Name*

Tax ID Number*

Address*

Street Address Address Line 2 City State ZIP Code

Contact Information

Contact Person

First Last

Title*

Phone*

Email*

Website

Information About Your Organization

Organization biographical narrative (origin, history, board composition, staffing, volunteer involvement, mission, major accomplishments, etc):*

What specific services or products are provided? Give examples.*

How are services or products delivered?*

What areas are serviced by the organization (geographic, demographic, etc)?*

Is your organization affiliated with any political parties or entities?*

Yes
No

Organizational Funding

Annual Budget:*

% of funds used for overhead costs:*

% of funds used to directly provide services or products:*

Funding Sources*

Grant Request Information

Grant amount requested from the Hansen Family Foundation?*

For what specific purpose(s) will the grant be used?*

If this grant will be used for a specific project, how will the grant money be distributed?

% of project total:*

% to overhead costs:*

% to delivery of direct services or products*

Will grant money will be used for building construction or improvements:*

% to building construction or improvements:*

% to overhead costs:*

Describe your fundraising plan.*

Provide copies of any competitive bids.

Drop files here or

Provide property insurance information.

Coverage Amount

Insurance Company

If your organization previously received grant money from the Hansen Family Foundation, how were those funds used?

Additional Comments

Phone

This field is for validation purposes and should be left unchanged.