FRIENDS of Iowa Civil Rights Funding Request

Organization Information

* Organization

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

Contact Information

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

Funding Information

* Amount Requested

* How will the funding be used?

* What impact will this program/project/activity will have on the community?

Each grantee is required within 30 days after their event/program, to submit a brief summary of how grant funds were actually used and shall provide details on the event/project including, but not limited to the number of participants (and/or other demographic data), date event was held, etc.

* Indicates Response Required