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About Us
Pantry Locations
New Mt. Hermon Food Ministry
St. Stephen Pantry at Our Lady of Guadalupe
Basilica Ste. Anne de Detroit
The Perry Center
Holiday Programs
Our Needs
Grants
Contact Us
Donate
Grant Request Application
Name of Organization:
Date:
MM slash DD slash YYYY
Name as it appears on IRS 501(c) 3:
Date 501 (c) 3 was issued:
MM slash DD slash YYYY
Employer Identification Number:
Name of Head of the Organization:
First
Last
Title of Head of the Organization:
Individual in charge of the feeding program:
First
Last
Address of feeding program:
Street Address
Address Line 2
City
ZIP Code
Phone:
Email:
What city and zip code areas do you serve?
Type of Agency:
Church
Community Center
Shelter
Other
Type of Program(s):
Food Pantry
Soup Kitchen
Other
Age of Population Served:
0-18
18-64
64+
Gender Served:
Male
Female
Both
When did the feeding program begin?
What days/times is your feeding program open?
How many households are you serving per month?
How many individuals?
How many households did you serve last year?
How many individuals?
How much is your monthly budget for food purchases?
How is your feeding program funded?
Who are your sources of food?
Type of Food Storage at facility:
Amount of Grant Requested (Frozen Food):
Amount of Grant Requested (Cash):
Amount of Grant Requested (Freezer):
Amount of Grant Requested (Refrigerator):
Amount of Grant Requested (Shelving):
Amount of Grant Requested (Others):
Please explain Other:
Total Requested:
Applicants Name and Title:
Date:
MM slash DD slash YYYY
Signature:
We Appreciate Your Support
Make a Monetary Donation
Volunteer Your Time or Make a Food Donation
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About Us
Pantry Locations
New Mt. Hermon Food Ministry
St. Stephen Pantry at Our Lady of Guadalupe
Basilica Ste. Anne de Detroit
The Perry Center
Holiday Programs
Our Needs
Grants
Contact Us
Donate
