Online Application

You may fill out this form online or print out the application. Please note, if planning on submitting the application online, please have the following documents ready to upload:

  1. IRS tax determination letter showing that you are a recognized public charity and that you are not a private foundation. Be certain to include your tax ID.
  2. Written Statement from organization representative documenting that the IRS has not revoked your tax-exempt status, nor changed that status since the issuance of the tax determination letter.
  3. Copy of the most recent audited financial statement of your organization.
  4. List of the organization’s board of directors / trustees, including name, corporate title, volunteer title, address and telephone number.
  5. List of the 5 largest contributors of this project along with how much each contributed.
  6. Letter from each collaborating organization confirming their commitment to the project. Please combine all letters into one file for uploading.
  7. Statement from Applicant Organization’s CEO and Chief Volunteer Officer
Application
Please upload the completed application (download).
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
REQUIRED DOCUMENTS

Upload letters of confirmation from each organization that will be willing to work with you on this project. Each letter should describe their commitment to this project.
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
Please provide other required documents below.
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
Drop a file here or click to upload Choose File
Maximum upload size: 134.22MB
NOTE : The grant can not be used for other purposes than those stipulated in grant proposal without permission
from Dr. Mary Cohen at Barton P. and Mary D. Cohen Charitable Trust.



A Summary of the completed project along with a statement of the project expenditures must be filed within
time specified in the grant agreement.
Sending