The Crazy Pet Children’s Foundation
Grant Application

Name of Organization ________________________________________________________

Official Address ____________________________________________________________

City _______________________ State ____ Zip _________

Office Telephone _______________________ Office Email Address___________________

Oranization Website__________________________________________________________

Name of Program Director _______________________ Telephone ____________________

Email Address of Program Director______________________________________________

The following information should be attached separately as a presentation:

• Describe your pet/child educational program in detail and explain how it meets the requirements of a CPCF Grant


• Describe what method you will use to determine the under-privileged children that you will award scholarships to attend your program.


• Attach a copy of the curriculum for your pet/child educational program.


• Fill Out the Attached W-9 Form ID and Certification


• Include Representations and Proof of Charitable Status

Certification by Applicant

I certify that the information contained in this application is true and complete. I understand that a fraudulent representation or omission of any information requested is grounds for immediate refusal to grant assistance under this program.

I understand that the awarding of the Grant is neither a right nor entitlement and that the Board of Directors of the CPC Foundation shall have sole discretion in determining whether this organization is qualified to receive a Grant.

 

Signed ________________________________ Title_________________ Date______________