PRSH Foundation Grant Application

Grant Application

Organization Name(Required)

Address(Required)

City(Required)

State(Required)

501(c)(3) Status(Required)

By checking this box, you are certifying that this organization is a 501(c)(3) and will attach a copy of the tax-exempt certificate with your submission.

Tax Number(Required)

Organization Phone Number(Required)

Organization Email(Required)

Executive Director(Required)

Board President (if different)(Required)

Website(Required)

Has your organization received a donation from PRS Holdings Foundation in the past?(Required)

Your relationship to PRS Holdings Foundation:(Required)

Please attach a copy of your tax-exempt certificate(Required)

Accepted file types: pdf, jpg, png, Max. file size: 5 MB.

About the Organization

Organization Mission

Organization Programs & Activities

Geographical Area Served

Request:

List amount requested, what funds will specifically be used for and the expected benefits.

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