Grant Application - DeKalb County Farm Bureau Connections

Mission Statement: “To broaden awareness and understanding of agriculture through outreach and education.”

Contact Mariam Wassmann, Foundation Administrator, to ensure the grant request complies with the Foundation Mission Statement, and for submitting a grant request: mariamwassman@dekalbfarmbureau.org, 815-756-6361.

Organization Name
Organization EIN
Contact Person
First Last
Contact Person's Title
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email
Organization's Website
Purpose of the Grant Request
Total Project Cost
Amount Requested from DCFB Foundation
Organization's Mission
Target Population Served by Project (Number of people reached):
Anticipated Project Completion Date
MM slash DD slash YYYY
General Project Description
Budget Details:
Signature*
Insertion of your name and date constitutes an electronic signature.
Date
MM slash DD slash YYYY