JSL 2021 GRANT APPLICATION

Please complete the below questions and submit your application. A Board member will be in contact with you once your application has been reviewed. Thank you for applying!

Check the box if this is an urgent request

Name of Organization/Individual

Amount requested

Contact Email

Have we granted to you in the past?

Choose an optionYesNo

Mailing address

Organization website

How will the funds be used to support women and children in crisis?

Please provide a cost breakdown of how the requested funds will be used.

What other information would you like us to know regarding this grant request?

Submit