Response

Grant Letter of Support

Your Organization/Contact Person

*indicates required field

Organization

Prefix

First Name

MI

Last Name

Suffix

Address Line 1

Address Line 2

City

State

Zip

Email

Phone

Cell Phone

Fax

Today's Date:

Grant Information

Federal Agency:

Grant Administrator/Contact Person:

First Name

Last Name

Address Line 1

City

State

Zip

Email

Phone

Federal Project/Grant Name:

Federal Project/Grant Website:

Grant Reference # (If appropriate):

Grant Application Deadline (or date on which you require a letter of support):

Purpose of Grant (Federal Government's description of what these funds are to be used for):

Stated Goals/Objectives/Outcomes of Organization Applying for Funds (Brief description of what your organization will use these Federal funds, if selected):

Submitting your request does not guarantee we will issue a Letter of Support.