WILDHORSE FOUNDATION 
FUNDING APPLICATION
Before completing this application, please read the eligibility criteria carefully 
to confirm your proposal qualifies for consideration. You may replicate this form 
on a word processor.  Please keep your responses to each of the following questions 
at a maximum of 200 words.  Applications submitted with answers exceeding the word 
limit will not be considered.  Once completed, submit one original and 5 copies.

Date:

Organization Name:

Founding date:

Address:

Telephone number:					

Fax number:		

E-mail address:					

Web site:

Director:

Contact person and title (if not director):

Program/project name:

Amount of request:

Date funds needed:

Time period grant will cover:

Type of request:     
capital expenditure ____  project support ____  operating support ____

Request makes up what percentage of project budget:

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Description of organization and its purpose:

Number of paid employees:

Number of volunteers:

Geographic area served:

Number of people served:

1) Describe briefly your organization's history, major accomplishments, current programs, 
   projects, and activities.
2) Describe the project/program for which you are seeking funding.
3) Specifically, how will the grant funds be used.
4) Explain how the purpose of your project fits the Wildhorse Foundation criteria.
5) Describe the people, organizations or groups expected to benefit and the anticipated 
   benefits to each.
6) Offer evidence that these benefits are needed.
7) What are the project's scope, goals and objectives?
8) How will these goals be accomplished (include an action plan and timeline for implementation)?
9) Detail your organization's special qualifications to address these goals.
10) List other groups addressing similar goals and the extent of your coordination with each.
11) Describe how will you measure the project's impact.
12) List other sources of support to which you are applying (sources and amount).
13) List secured commitments/pledges.
14) How will you sustain funding for this project?
15) List all members of your organization's board of directors, their primary affiliations, 
    areas of expertise, and phone numbers.
16) Summarize the qualifications (professional and educational) and time commitment of key 
    individuals involved in carrying out the plans outlined in this request.

ATTACHMENTS
A) One page detailed project budget
B) Current detailed organization budget
C) Audited financial statement from last completed fiscal year
D) Descriptive brochure (if available)