Please note that this sample application is for reference use ONLY. You must log in to actually submit a proposal.

Contact Information

* indicates required field

Please provide the following information so that we may contact you regarding your proposal.

Organization Information

* indicates required field

Please provide the following information about your organization.

Please answer "Yes" if your organization lacks its own tax ID or is applying for funding using another organization's tax ID. Funding will be provided to the In Care Of organization.
Please answer "Yes" if your organization does not have a tax ID or NCES number, or is applying for funding using another organization's tax ID or NCES number. Funding will be provided to the In Care Of organization, which may be a Fiscal Agent.
Address of the recipient organization
Your organization's background, history and/or mission statement
2000 character maximum

Proposal Information

* indicates required field
(MM/DD/YYYY)
(MM/DD/YYYY)
2000 character maximum


Provide estimated projections of the metrics you plan to track. If a metric is not applicable, enter 0.
Description Target Value
Please list the different ways in which our support will be known and to what groups.
2000 character maximum
Relative to additional program/project funding, be sure to include name of funder, amount, and where this funding is directed. If you do not have additional funding to report, please enter "NA" or "Not applicable."
2000 character maximum
Please enter N/A if no honors being given.
Please provide a breakdown by percentage of the ethnicities that this proposal will work to support.
%  
%  
%  
%  
%  
%  

Organization Certifications

* indicates required field
2000 character maximum
Goods or services provided by the organization to Verizon in consideration of the contribution. (i.e.- the value of food, beverage, ticket or entertainment at a fundraising event, etc)
2000 character maximum
Note that "meals" might include a group setting such as a gala dinner.
2000 character maximum
 
 
Goods or services provided by the organization to the government official in consideration of the contribution. (i.e.- the value of food, beverage, ticket or entertainment at a fundraising event, etc)
500 character maximum
2000 character maximum
2000 character maximum
2000 character maximum
2000 character maximum
2000 character maximum
2000 character maximum