Eligibility Inquiry

This form is for first-time applicants to determine if your organization and grant request is eligible for funding by the NHEC Foundation. Upon approval, you will be asked to submit further documentation with your grant application as outlined in the Guidelines.

Contact Information
Name of Organization * Required
Address * Required
Street Address Address Line 2 City State ZIP Code
Contact Person * Required
First Last
Email * Required
Phone Number * Required
Project/Program Description
Project/Program Title * Required
Amount of funds you are requesting * Required
Please give a brief description of what funding will support * Required
Does your proposed project or program have other funding sources lined up, either financial or in-kind? If yes, please specify each source below: * Required
Please list the geographic areas this grant will serve * Required
How did you hear about the NHEC Foundation? * Required
Is your organization a non-profit 501(c)3? * Required
- Yes
- No
- Other Other
- Other Other
Digital Signature
Name * Required
First Last
Date - must be mm/dd/yyyy format * Required
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Eligibility Inquiry

Contact Information

Project/Program Description

Digital Signature