Grant Application Grant Application Nonprofit Organization InformationOrganization Name(Required) Organization Mission Statement Is the Organization a 501(c)(3) as designated by the IRS?(Required) Yes No Unsure EIN/Tax ID of Organization(Required) Nonprofit Program InformationProgram Name(Required)The name of the program or project you would like to fund. Program Description(Required)Please provide a brief description in the field below detailing the project requested for funding.Area(s) of Focus(Required) Business/Entrepreneurship Education Environment Family Services Food Healthcare Other Total Project Budget(Required)Total cost of the program to be successfulEstimated Number of People Impacted(Required) Requested Grant Amount(Required)Intent of Funds(Required)What specifically will the requested funds be used for? *Please note that The Gladys Foundation does not fund or supplement staffing costs. Your InformationName(Required) First Last Phone(Required)Email(Required) Company(Required)Choose OneMemphis Wings/WingstopNorth Texas Bells/Taco BellNorth Texas Wings/WingstopStore Number(Required)Choose One127580636659753767777832876Store Number(Required)Choose OneRSC (Restaurant Support Center)Maintenance DepartmentAbove Store Leader (Area Coach or Director)Training Center2786627867278682786927870278712787227873278742787527876278772787829487298852988629887298882988929890299723059031798321873327133272332733327433275332763327733278334633434435432354333543435435354363543735438354393544035441354423544335444354453544635447354483544935450360003678937009371013711137167377213883740025Store Number(Required)Choose One29538101210841161123514521584167816791815188518602119Is this your First Time Applying for a Grant through The Gladys Foundation?(Required) Yes No Previous Application(Required)Have you applied on behalf of this organization within the last 12 months? Yes No Financial Contribution to the Organization(Required)Within the last 12 months, what is your total financial contribution to the organization?Service Hours(Required)What is your service hour contribution to this organization within the last 12 months? I have Reviewed the Eligibility Requirements(Required) Yes No
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