SCC Bristol Grant Application

Thank you for your interest in Speedway Children’s Charities regarding funding for your project. It is our pleasure to offer you the 2023 Bristol Speedway Children’s Charities Grant Application. Please be aware that all applicants must complete the online application form below. This grant application must be completed and received no later than midnight on May 15, 2023.

Organizations whose applications are accepted will be contacted via email and asked to submit additional application information, including financial documents and proof of non-profit status. Only organizations who complete both phases of the application process will be considered for funding.

If you have any questions, please contact Betsy Holleman at 423-989-6975 or [email protected].

Program Contact Person's Name*

Program Contact Person's Title*

Legal Name of Organization*

Address*

Apt, Suite, etc. (Optional)

City*

State*

Zip*

Phone*

Email*

Executive Director’s Name*

Executive Director’s Phone Number*

Tax Identification Number*

Date 501(c)3 status was granted by the IRS*

Provide a brief description of the applicant organization. Include scope of services, programs, priorities, and plans. (500 characters max)*

Please limit your response to 500 characters.

Purpose of Program (Eight words or less…NOT the Program name)*

Grant Amount Requested*

Is your organization a past SCC grant recipient?*

Yes

Type of grant that best describes your program we will be funding:*

Critical (food/clothing/shelter)

Medical (illness/disability/therapy)

Educational

Social

Geographic Areas Served (List each county and/or state):*

Provide a description of the proposed Program, including the Program goals. (500 characters max)*

Please limit your response to 500 characters.

* Indicates a required field.

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