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CIC Grant Request-Internal
Angela Henery
2025-11-24T08:57:40-06:00
2022 General/Internal Application
"
*
" indicates required fields
Your Name
*
Your Email
*
Youth Grant?
*
Are you under the age of 18 and applying for our Daycos4Good Youth Make a Difference Grant?
Yes
No
Non-Profit Organization
*
Is your organization a 501(c)3?
Yes
No
Organization Name
*
Organization Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Project Name
*
Total Funding Request
*
Please enter a number greater than or equal to
0
.
Due Date
Does your project have a due date? If so please select the date.
MM slash DD slash YYYY
Focus Areas
*
Which Daycos Focus Areas does this project include? Please check all that apply.
Developing, Inspiring, and Building Capacity in Leadership
Growing Our Future Through Our Youth
Using Innovative Technology to Equalize and Improve Lives
Serving Those Who Serve (military, veterans, first responders and law enforcement)
Project Description
*
Please give us a brief description of your project, like community needs it addresses, specific dates, goals, and whatever else you think would be helpful for us to know.
Whatever it is you need to help your project reach completion.
Project Files / Documents
If you have any images or documents (.jpg or .png files) that would help illustrate or describe your project, please upload up to 5 files to include with your application.
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, Max. file size: 25 MB, Max. files: 6.
Does this project offer any volunteer opportunities for Daycos employees and/or their families?
*
Yes
No
Volunteer Oppportunities
Please descriibe the volunteer opportunities in your project.
How did you hear about us?
*
Community Referral
Daycos Employee Connection
Local Media
Social Media
Prior Grantee
Other
Daycos shall not discriminate against any applicant because of race, color, religion, sex, sexual orientation, gender identity, or national origin.
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