GRANT APPLICATION

As a result of Mad Anthonys’ commitment, the network focuses on supporting initiatives that have the potential to impact the overall leadership of the community. Diligently participating in charitable giving with consistent and purposeful engagement to make a strong and positive impact.

To be considered for a grant, submit a request form below, or download a blank application to submit via email to kathy@madanthonys.org or mail to 10214 Chestnut Plaza Dr #222, Fort Wayne, IN 46814.

Download Blank Form

Eligibility

• Must be a current 501 (c) 3 not-for-profit, tax exempt status
under the IRS Code
• Must be located in Northeast Indiana
• Demonstrate benefit to community, effective performance,
meaningful outcomes and financial responsibility and
accountability

Submission Timeline & Details

How to Apply

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What to Submit with Application

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After Notification

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Mad Anthonys Foundation Benefit Request Form

Step 1 of 5

Contact Name(Required)

Email(Required)

Phone(Required)

Today's Date

Organiztion Name(Required)

Website

Address 1(Required)

Address 2

City(Required)

State

ZIP

Purpose/Mission(Required)

Board/Committee Members (may attach list) *

File

Max. file size: 300 MB.

Name(Required)

Date(Required)

Time/Duration(Required)

Location(Required)

Details/Description of Program/Services(Required)

Who will be served/will benefit (demographics, number of people served)?(Required)

How will you measure your results?(Required)

Other individuals, businesses, organizations involved in program(Required)

History of program(Required)

Nature of request

Funds

Other (please specify)

Amount of funds requested(Required)

Total funds needed for program/service(Required)

Breakdown of how the funds/services will be used(Required)

Other anticipated funding sources and levels(Required)

What makes the program/service a good fit for Mad Anthonys and the community?(Required)

Additional Information

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