GRANT AGENCY PROSPECT FORM
Agency Name:
Address:
Contact Person (if provided):
Telephone or Email:
Assets of Agency (Useful to get a sense of what size grant to submit):
Fiscal Year _____; Amount Available for Grant _______; Average Grant Range ________;
Stated Purpose of Grant Program:
Subject Focus:
Geographic Focus (if any):
Organizational Focus, e.g., libraries and museums (if any):
Some examples of the Type of Grants Awarded:
Application Procedures (Guidelines for proposals) and Deadlines (if any):
Funding Cycle/Time Required to Consider Requests:
Ideas that might be attractive to this agency and fill a need for your organization:
CONTACT RECORD:
Date:
Summary of contact: