Grant Application

Each year our foundation is committed to awarding funds to local organizations who are dedicated to serving our community’s most exceptional youth across the entire spectrum. We are interested in hearing how we at Mother Bear can best serve your organization.

An online application and a printed copy are necessary for each applicant. Please mail paper copies to:
Mother Bear Foundation
PO Box 597
Evansville, IN 47708

Date of Application

YYYY

Organization Name

Contact Name(s) & Title

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Fax

(###)

###

####

Tax ID#

County where organization is located

County that will benefit from this request

Total monetary request

Estimated number of people it will benefit

Does the viability of the project depend on contributions from addition sources?

Yes

If yes, please list contributors

Description of Organization (brief history, activities, etc.)

List or provide a copy of the Mission Statement for your organization

Organization Purpose

Summary of Project / Need

*All applications must be post dated by August 31st, each calendar year.

*Eligibility for funding requires that your organization meets the standards of the IRS 501(c) (3) tax exemption. Your signature on this application affirms that your organization meets this requirement. If approved, you will receive a grant acceptance letter followed by a grant agreement form. The Mother Bear Foundation reserves the right to inquire as to updates and results as this project progresses and is completed.

*Feel free to attach additional paperwork should the application not provide you enough space to detail the information requested.

*Mother Bear does not provide grant money for general administrative budget items such as salaries and benefits, staffing needs, transportation, hotel accommodations, food, brick and mortar construction, or building improvements of any kind. All grant requests must directly benefit children.