Your Grant Application Starts Here

*****PLEASE READ!!!!*****

WE ARE NO LONGER ACCEPTING GRANT APPLICATIONS FOR JANUARY AND FEBRUARY 2023. We are a small local Charity and all budgets for grants have been maxed.

If there is a need that you have or are aware of, please complete this application. Upon submission, it will be reviewed by members of the Bright Again Grant Committee. (Bright Again, does not give money, pay debts, medical bills or attorney fees. Thank you for understanding.) Please keep in mind that the grant approval could take as long as one month, and some may require financial review.

1 Personal Information

2 Grant Information

3 Grant Details

Please complete the form below and submit it for review.
Date
Date Format: MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Date grant needed by:
Date Format: MM slash DD slash YYYY
Time period this grant will cover?
Specific Item Grant (tires, water heater, new stairs, etc)*
Amount ($USD) Requested for Specific Grant Item*
How did you hear about us?*

Do we have permission to share your story?*
- Yes
- No
Are you willing to volunteer/support future fundraisers for Bright Again?*
- Yes
- No
Have you applied for a grant with Bright Again previously?*
- Yes
- No
If so, date you applied
Date Format: MM slash DD slash YYYY
Was your grant awarded to you?*
- Yes
- No

Please share your story and add details to help us understand your purpose for applying.
Can you tell us about yourself and your situation?
What do you hope to accomplish and how will this grant help you?
Who will this grant benefit?

Your Grant Application Starts Here

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