Submit a Grant Application – Eayres Hope Foundation

Grant Application Form

Complete this form to apply for a grant from the Eayres Hope Foundation after your Letter of Interest has been approved. Supporting documents should be mailed to our PO box:

Eayres Hope Foundation
PO Box 334
Mendon, New York 14506

Required documents include copies of most recent:

Annual report
Year-end financial statement
IRS 501(c)(3) Determination Letter

All fields are required.

Organization Name

Organization Mission Statement

Contact Person

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Summary of Need

Name of Project

Description of Project

Intended Outcomes and Goals

Amount of Funding Requested from Eayres Hope

Total Project Cost

Other Funding Secured or Pending

Source

Amount

Number of People Served by Organization

Please enter a number greater than or equal to 0.

Number of People Served by Project

Please enter a number greater than or equal to 0.

Location of People Served

Authorized Signatories

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

We welcome collaboration with other private and public funders to address issues concerning children in the greater Rochester community.