Application Cover Sheet
Request for Funding from the Weyerhaeuser Family Foundation, Inc.
General Program
INFORMATION
Organization name:
Organization address:
City State Zip Code
Telephone number:
E-Mail Address:
Contact person:
Title:
FINANCES
Organization's total operating budget for last fiscal year
Total project cost
Amount requested of Weyerhaeuser Family Foundation, Inc.
FIELD OF INTEREST (CHECK ONLY ONE)
Art and Humanities
Education
Environment
Health
International Affairs
Have you included a plan for an assessment or evaluation?
Please summarize your project in the space below.
Have you received a Weyerhaeuser Family Foundation grant in the past?
Yes
No
If Yes, Year(s) Grant(s) Received
Please print and submit this form along with your Letter of Intent before the April 1 deadline.