The Power of Change Application for Donation

Address(Required)
Contact Person(Required)
Is organization requesting funding exempt from payment of income tax?(Required)
Max. file size: 499 MB.
Max. file size: 499 MB.
Include amount requested and specifics of how funds will be used.
1st Reference Name(Required)
1st Reference Address(Required)
2nd Reference Name(Required)
2nd Reference Address(Required)
3rd Reference Name(Required)
3rd Reference Address(Required)
Has your organization previously applied for funding?(Required)
*PLEASE NOTE: Due to the large amount of donation requests our program receives, applicants may only submit a donation request one time within a 12-month time period.
This field is for validation purposes and should be left unchanged.