The Koinonia Foundation of Wake Forest
PO Box 200
Wake Forest
,
NC
27588
The Koinonia Foundation Grant Application
Organization Information
Name of Organization
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Website Address
Tax ID
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Physical Address
Street Address
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Address Line 2
City
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State
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Zip Code
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Mailing Address
Check if same as physical address
Mailing Address
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Mailing Address Line 2
Mailing Address City
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Mailing Address State
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Mailing Address Zip Code
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Contact Information
Contact First Name
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Contact Last Name
*
Contact Phone
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Contact Email Address
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Summarize what your organization does for the area(s) Koinonia serves in greater Wake Forest/Rolesville/Youngsville
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Dollar amount of Grant Request
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Please justify your grant request with a breakdown of these specifics:
1) How the grant funds will be used?
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2) Who/what will benefit from these funds?
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3) How many items will be purchased?
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4) How many people will be helped?
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5) Geographic location(s) of individuals who will be helped?
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Please upload your organization’s most recent Operating Budget(s) from within the last year that shows the following: 1. Expenses(salaries, rent, marketing, etc) 2. Your funding sources from individuals, foundations, churches, businesses, and others. 3. Total income/donations 4. Total expenses
