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Casella Grant Application
Casella Grant Application
Organization Name
Your organization’s federal taxpayer ID number Format 12-1234567
First Name
*
Last Name
*
Email
*
Phone
*
Mailing Address
*
City
*
State
*
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Is your physical address different from your mailing address
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Address
*
City
*
State
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Alaska
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*
Describe Your Organization, Event, or Project
What are you requesting?
Cash Donation
Sponsorship
In-Kind Service Donation
Other (Please Describe)
Other please describe
*
Please select the area your organization supports
*
Environmental and natural resource conservation
Community revitalization
Workforce development
Disaster Relief
Other (please describe)
Other please describe
*
What is the amount you are requesting?
*
Is this funding specific to an event or project?
*
Yes
No
What is the date of the event or project?
*
Describe the event or project and how the proceeds will be used:
*
"Please attach the following: • Any additional information to support your request • Copy of tax-exempt notification letter from IRS or equivalent documentation"
*
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