Application Cover Sheet - Children's Initiative

Application Cover Sheet
Request for Funding from the Weyerhaeuser Family Foundation, Inc.
Children's Initiative

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.

Have you included a plan for an assessment or evaluation?

Please summarize your project or request in less than 200 words.

Have you received a Weyerhaeuser Family Foundation grant in the past? Yes No
If Yes, Year(s) Grant(s) Received

Have you done this project before? Yes No

Is this project a model which has been replicated elsewhere? Yes No

Do you expect to have ongoing funding needs for this project? Yes No

Please print and submit this form along with your Letter of Intent before the April 1 deadline.