Request for Funding Returning Organizations - Caroline's Non Profit Thrift Shop

Name of Organization(Required)

Address of Organization(Required)

Phone Number(Required)

Email(Required)

Non Profit Tax Identification Number of Organization(Required)

Please attach a copy of your IRS exemption letter verifying your 501(c)(3) tax-exempt status

Has the mission of your organization changed/expanded within the past year?(Required)

Have the service(s)/program(s) your organization provides for Santa Cruz County changed/expanded over the past year?(Required)

How many Santa Cruz county children and/or families received services with the funding you received from Caroline's this past year?(Required)

Amount of funding your organization is requesting this year:(Required)

How will the funds be used? Please be specific.(Required)

How many Santa Cruz county children and/or families will be served by the program or service(s) for which you are requesting funds?(Required)

Additional information/comments

Name of Person Submitting Request(Required)