Application Request

Before requesting an application, please review our Mission Statement and our Application Requirements. 
  
All items are required unless otherwise noted.

Organization Name:
Address:
City:
State: Zip Code:
Executive Director:
Website:
Mission Statement:
Geographic Service Area(s) - City of Dallas, Dallas County, Dallas Neighborhoods, specify
Is your organization tax exempt under Section 501(c)3? Yes No
Contact Name:
Contact Phone:
Contact Fax:
Contact Email:
Please provide brief description of how you would use the funds:
Questions/Comments